| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,651 |
2,498 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,492 |
1,468 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
596 |
585 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
516 |
500 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
456 |
451 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
276 |
273 |
$22K |
| 99058 |
|
648 |
640 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
929 |
514 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
804 |
791 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
208 |
204 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
129 |
126 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
318 |
309 |
$3K |
| 99188 |
|
252 |
247 |
$2K |
| 92587 |
|
495 |
490 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
295 |
284 |
$2K |
| 83655 |
|
140 |
139 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 85018 |
|
269 |
268 |
$578.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
17 |
$229.95 |
| 90651 |
|
120 |
119 |
$208.90 |
| 92567 |
|
17 |
17 |
$168.14 |
| 81003 |
|
53 |
53 |
$101.34 |
| 90686 |
|
409 |
409 |
$15.15 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
17 |
17 |
$4.27 |
| 97802 |
|
331 |
321 |
$0.00 |
| 90744 |
|
50 |
50 |
$0.00 |
| 90680 |
|
108 |
108 |
$0.00 |
| 90619 |
|
44 |
43 |
$0.00 |
| 90723 |
|
58 |
58 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90698 |
|
97 |
97 |
$0.00 |
| 90620 |
|
32 |
30 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 99173 |
|
414 |
409 |
$0.00 |
| 90670 |
|
363 |
362 |
$0.00 |
| 90700 |
|
52 |
52 |
$0.00 |
| 90710 |
|
144 |
144 |
$0.00 |
| 90648 |
|
161 |
160 |
$0.00 |
| 90633 |
|
193 |
191 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 90685 |
|
72 |
72 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |