| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,817 |
12,624 |
$649K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,903 |
5,662 |
$325K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,433 |
4,571 |
$284K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,954 |
2,577 |
$184K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,538 |
2,182 |
$173K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,517 |
2,062 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,776 |
1,530 |
$127K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,935 |
2,542 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,095 |
877 |
$84K |
| 96160 |
|
1,601 |
1,305 |
$62K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,624 |
5,521 |
$62K |
| 96161 |
|
2,855 |
2,271 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,863 |
1,610 |
$55K |
| 99173 |
|
4,145 |
3,432 |
$33K |
| 92551 |
|
4,168 |
3,441 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,831 |
1,624 |
$26K |
| 96127 |
|
5,385 |
4,493 |
$24K |
| 97802 |
|
3,136 |
2,656 |
$24K |
| 99401 |
|
550 |
477 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
654 |
513 |
$18K |
| 90677 |
|
252 |
189 |
$15K |
| 81003 |
|
5,011 |
4,100 |
$11K |
| 36416 |
|
4,164 |
3,517 |
$11K |
| 99381 |
|
149 |
125 |
$10K |
| 90651 |
|
488 |
386 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,434 |
1,984 |
$6K |
| 3008F |
|
3,831 |
3,164 |
$5K |
| 87807 |
|
350 |
330 |
$5K |
| 81025 |
|
518 |
403 |
$3K |
| 90670 |
|
1,929 |
1,608 |
$2K |
| 90734 |
|
274 |
219 |
$2K |
| 90656 |
|
120 |
80 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
85 |
75 |
$1K |
| 90680 |
|
1,349 |
1,110 |
$1K |
| 83655 |
|
74 |
68 |
$1K |
| 90716 |
|
624 |
515 |
$1K |
| 90707 |
|
605 |
500 |
$711.14 |
| 0071A |
|
17 |
16 |
$640.00 |
| 69210 |
|
15 |
14 |
$600.69 |
| 96380 |
|
22 |
14 |
$563.20 |
| 0072A |
|
16 |
15 |
$560.00 |
| 90633 |
|
649 |
567 |
$527.40 |
| 90620 |
|
49 |
37 |
$454.82 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
24 |
$387.06 |
| 90686 |
|
1,764 |
1,490 |
$368.68 |
| 90715 |
|
57 |
44 |
$217.60 |
| 90688 |
|
15 |
13 |
$156.80 |
| 90661 |
|
24 |
15 |
$105.00 |
| 90648 |
|
2,025 |
1,675 |
$82.32 |
| 90461 |
|
355 |
293 |
$79.35 |
| 94760 |
|
61 |
60 |
$77.90 |
| 90700 |
|
349 |
276 |
$63.12 |
| 90685 |
|
458 |
395 |
$23.53 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
66 |
58 |
$2.92 |
| 90713 |
|
33 |
31 |
$0.00 |
| 91308 |
|
18 |
14 |
$0.00 |
| 99072 |
|
13 |
13 |
$0.00 |
| 90723 |
|
1,468 |
1,204 |
$0.00 |
| 91305 |
|
30 |
26 |
$0.00 |