| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,056 |
23,459 |
$2.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,010 |
4,542 |
$595K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,845 |
3,839 |
$372K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,360 |
3,359 |
$327K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,897 |
2,832 |
$262K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,384 |
2,384 |
$254K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,536 |
4,328 |
$230K |
| 92587 |
|
6,348 |
6,342 |
$213K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,677 |
12,292 |
$204K |
| 99051 |
|
8,093 |
7,585 |
$49K |
| 99188 |
|
4,110 |
4,105 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
393 |
392 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,836 |
1,429 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,830 |
7,993 |
$39K |
| 92551 |
|
5,153 |
5,153 |
$36K |
| 96127 |
|
3,472 |
3,452 |
$18K |
| 87070 |
|
2,671 |
2,470 |
$17K |
| 81003 |
|
7,040 |
6,953 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
278 |
272 |
$12K |
| 92552 |
|
728 |
728 |
$11K |
| 90677 |
|
260 |
257 |
$10K |
| 97802 |
|
4,404 |
4,396 |
$10K |
| 99215 |
Prolong outpt/office vis |
48 |
43 |
$9K |
| 90651 |
|
622 |
622 |
$9K |
| 90461 |
|
2,736 |
2,712 |
$7K |
| 83655 |
|
646 |
644 |
$7K |
| 90620 |
|
97 |
97 |
$6K |
| 90686 |
|
4,505 |
4,483 |
$5K |
| 99401 |
|
5,083 |
5,074 |
$4K |
| 69210 |
|
86 |
84 |
$4K |
| 96161 |
|
2,226 |
2,172 |
$4K |
| 99381 |
|
13 |
13 |
$2K |
| 17110 |
|
17 |
16 |
$1K |
| 99177 |
|
3,442 |
3,436 |
$1K |
| 90671 |
|
112 |
111 |
$992.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
843 |
840 |
$940.52 |
| 90710 |
|
615 |
614 |
$866.20 |
| 81002 |
|
448 |
442 |
$784.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
112 |
112 |
$738.12 |
| 90715 |
|
148 |
148 |
$609.29 |
| 99173 |
|
5,833 |
5,827 |
$520.36 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
40 |
$458.85 |
| 96160 |
|
365 |
362 |
$406.21 |
| 90656 |
|
283 |
283 |
$230.58 |
| 90734 |
|
475 |
473 |
$169.13 |
| 36415 |
Collection of venous blood by venipuncture |
847 |
842 |
$157.60 |
| 90723 |
|
1,303 |
1,298 |
$101.94 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
46 |
39 |
$94.69 |
| 94664 |
|
13 |
12 |
$65.97 |
| 90672 |
|
567 |
567 |
$55.58 |
| 90633 |
|
830 |
829 |
$41.37 |
| 90647 |
|
1,320 |
1,315 |
$33.73 |
| A7015 |
Aerosol mask, used with dme nebulizer |
37 |
33 |
$33.67 |
| 90660 |
|
43 |
43 |
$28.88 |
| 92283 |
|
159 |
159 |
$25.00 |
| 99000 |
|
2,296 |
2,208 |
$3.35 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
42 |
37 |
$1.73 |
| 90696 |
|
104 |
104 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
92 |
92 |
$0.00 |
| 90681 |
|
698 |
695 |
$0.00 |
| 90670 |
|
1,338 |
1,330 |
$0.00 |
| 90700 |
|
134 |
132 |
$0.00 |
| 90648 |
|
31 |
31 |
$0.00 |
| 90685 |
|
20 |
20 |
$0.00 |
| 99354 |
|
30 |
24 |
$0.00 |