| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,093 |
6,042 |
$570K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
852 |
830 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
389 |
387 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
801 |
728 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
970 |
912 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
232 |
232 |
$9K |
| 99460 |
|
221 |
221 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
615 |
567 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
109 |
$8K |
| 97802 |
|
315 |
315 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,128 |
1,119 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
451 |
442 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
315 |
315 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 90658 |
|
167 |
167 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 17250 |
|
14 |
12 |
$841.72 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
51 |
$795.60 |
| 90670 |
|
198 |
198 |
$525.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
32 |
28 |
$422.28 |
| 36415 |
Collection of venous blood by venipuncture |
400 |
396 |
$243.00 |
| 90657 |
|
13 |
13 |
$187.50 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
27 |
27 |
$130.50 |
| 99051 |
|
16 |
12 |
$91.91 |
| 90686 |
|
52 |
52 |
$57.09 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
27 |
27 |
$55.75 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
26 |
26 |
$2.16 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
258 |
258 |
$0.00 |
| 90744 |
|
159 |
157 |
$0.00 |
| 90680 |
|
204 |
203 |
$0.00 |
| 90698 |
|
233 |
232 |
$0.00 |
| 90716 |
|
51 |
51 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 99080 |
|
132 |
52 |
$0.00 |
| 99072 |
|
185 |
124 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |