| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,682 |
8,253 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,090 |
10,304 |
$1.12M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,690 |
2,659 |
$356K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,301 |
2,299 |
$320K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,661 |
3,651 |
$135K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
899 |
899 |
$135K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,298 |
3,224 |
$120K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,176 |
5,157 |
$90K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,453 |
2,395 |
$70K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,374 |
4,352 |
$64K |
| 99381 |
|
300 |
299 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
298 |
298 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
802 |
704 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,568 |
1,545 |
$23K |
| 99188 |
|
1,118 |
1,118 |
$20K |
| 87807 |
|
1,073 |
1,041 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
318 |
310 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
966 |
955 |
$7K |
| 87430 |
|
434 |
430 |
$6K |
| 87428 |
|
112 |
112 |
$4K |
| 83655 |
|
382 |
382 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$4K |
| 90473 |
|
79 |
79 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$742.20 |
| 36415 |
Collection of venous blood by venipuncture |
118 |
118 |
$695.88 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
44 |
$444.10 |
| 96380 |
|
14 |
14 |
$395.08 |
| A7015 |
Aerosol mask, used with dme nebulizer |
43 |
43 |
$62.06 |
| 90677 |
|
441 |
441 |
$12.39 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
30 |
$1.37 |
| 90633 |
|
798 |
798 |
$0.05 |
| 90672 |
|
449 |
449 |
$0.02 |
| 90670 |
|
1,631 |
1,631 |
$0.01 |
| 90656 |
|
91 |
91 |
$0.01 |
| 90681 |
|
830 |
830 |
$0.00 |
| 90715 |
|
48 |
48 |
$0.00 |
| 90707 |
|
201 |
201 |
$0.00 |
| 90710 |
|
159 |
159 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |
| 90734 |
|
102 |
102 |
$0.00 |
| 90700 |
|
90 |
90 |
$0.00 |
| 90651 |
|
113 |
113 |
$0.00 |
| 90647 |
|
1,447 |
1,447 |
$0.00 |
| 90723 |
|
1,620 |
1,620 |
$0.00 |
| 90686 |
|
525 |
524 |
$0.00 |
| 90716 |
|
188 |
188 |
$0.00 |
| 90696 |
|
110 |
110 |
$0.00 |
| 90660 |
|
97 |
97 |
$0.00 |