| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,857 |
4,466 |
$415K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,343 |
2,123 |
$241K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,039 |
1,693 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
604 |
604 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,317 |
2,247 |
$29K |
| 92587 |
|
1,032 |
1,029 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
294 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,602 |
1,395 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
89 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
625 |
419 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,845 |
1,719 |
$5K |
| 87634 |
|
236 |
225 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$4K |
| 87807 |
|
218 |
198 |
$2K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
384 |
305 |
$768.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
22 |
$744.96 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$719.99 |
| 0071A |
|
14 |
14 |
$475.76 |
| 83655 |
|
45 |
45 |
$436.29 |
| A7015 |
Aerosol mask, used with dme nebulizer |
314 |
253 |
$248.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
14 |
$230.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
28 |
$225.61 |
| 83051 |
|
45 |
45 |
$127.41 |
| 94760 |
|
993 |
700 |
$114.22 |
| 99173 |
|
946 |
946 |
$22.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,371 |
1,357 |
$19.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$1.17 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90670 |
|
142 |
142 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90680 |
|
51 |
51 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
65 |
$0.00 |
| 90698 |
|
129 |
129 |
$0.00 |
| 36416 |
|
90 |
84 |
$0.00 |
| 99000 |
|
905 |
819 |
$0.00 |
| 90686 |
|
525 |
523 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |