| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,099 |
3,615 |
$606K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,263 |
2,825 |
$299K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,327 |
3,319 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,100 |
1,097 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
974 |
974 |
$90K |
| 99205 |
Prolong outpt/office vis |
371 |
371 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
371 |
371 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,688 |
1,619 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,502 |
2,442 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
684 |
659 |
$19K |
| 94664 |
|
1,322 |
1,168 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
247 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
398 |
379 |
$15K |
| 87807 |
|
125 |
124 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99188 |
|
56 |
56 |
$630.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$607.20 |
| 99173 |
|
212 |
212 |
$524.75 |
| 90686 |
|
330 |
330 |
$121.53 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
25 |
25 |
$48.48 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90698 |
|
218 |
218 |
$0.00 |
| 90680 |
|
85 |
85 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 96160 |
|
521 |
521 |
$0.00 |
| 90670 |
|
475 |
475 |
$0.00 |
| 90685 |
|
109 |
109 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |