| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,658 |
5,766 |
$433K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,444 |
1,204 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,258 |
1,176 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
786 |
758 |
$77K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,870 |
2,677 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
511 |
501 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
454 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,716 |
1,297 |
$46K |
| 99188 |
|
3,389 |
3,283 |
$39K |
| 92561 |
|
788 |
762 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,495 |
1,167 |
$20K |
| 92587 |
|
1,050 |
1,025 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
278 |
256 |
$11K |
| 94667 |
|
446 |
421 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,008 |
962 |
$8K |
| 92567 |
|
571 |
543 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
434 |
408 |
$7K |
| 99070 |
|
258 |
242 |
$3K |
| 90461 |
|
112 |
105 |
$3K |
| 99384 |
|
16 |
16 |
$2K |
| 94760 |
|
2,666 |
2,421 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
108 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
169 |
167 |
$1K |
| 87807 |
|
20 |
19 |
$148.86 |
| A7015 |
Aerosol mask, used with dme nebulizer |
448 |
420 |
$126.64 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
445 |
420 |
$52.12 |
| 90744 |
|
72 |
68 |
$0.00 |
| 90688 |
|
37 |
28 |
$0.00 |
| 99000 |
|
132 |
125 |
$0.00 |
| 90680 |
|
27 |
24 |
$0.00 |
| 90686 |
|
140 |
137 |
$0.00 |
| 90698 |
|
17 |
15 |
$0.00 |
| 90716 |
|
32 |
29 |
$0.00 |
| 90677 |
|
15 |
12 |
$0.00 |
| 90648 |
|
158 |
151 |
$0.00 |
| 90670 |
|
194 |
190 |
$0.00 |
| 90734 |
|
134 |
133 |
$0.00 |
| 90700 |
|
322 |
310 |
$0.00 |
| 90715 |
|
37 |
36 |
$0.00 |
| 90713 |
|
192 |
186 |
$0.00 |
| 90707 |
|
44 |
41 |
$0.00 |
| 90633 |
|
55 |
55 |
$0.00 |