| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,412 |
12,267 |
$546K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,289 |
1,160 |
$171K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,048 |
1,041 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
887 |
881 |
$106K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,779 |
1,601 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
380 |
374 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,610 |
3,522 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
152 |
$14K |
| 99460 |
|
28 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
31 |
$3K |
| 99173 |
|
1,993 |
1,956 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
715 |
702 |
$2K |
| 90686 |
|
864 |
857 |
$2K |
| 90670 |
|
777 |
769 |
$2K |
| 99188 |
|
559 |
556 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
786 |
753 |
$1K |
| 90461 |
|
165 |
162 |
$1K |
| 99051 |
|
669 |
643 |
$704.02 |
| 99462 |
|
94 |
64 |
$549.48 |
| 90672 |
|
126 |
126 |
$298.51 |
| 90715 |
|
48 |
48 |
$130.89 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
122 |
122 |
$117.30 |
| 94664 |
|
20 |
17 |
$65.41 |
| 90633 |
|
304 |
301 |
$44.00 |
| 90744 |
|
12 |
12 |
$26.90 |
| 90710 |
|
160 |
157 |
$22.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
42 |
$17.64 |
| 81002 |
|
28 |
28 |
$13.91 |
| 90734 |
|
42 |
42 |
$0.00 |
| 90681 |
|
67 |
67 |
$0.00 |
| 94060 |
|
20 |
16 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
20 |
16 |
$0.00 |
| 90700 |
|
26 |
25 |
$0.00 |
| 90621 |
|
104 |
102 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 99050 |
|
55 |
53 |
$0.00 |
| 90620 |
|
107 |
105 |
$0.00 |
| 90647 |
|
131 |
131 |
$0.00 |
| 90680 |
|
38 |
38 |
$0.00 |
| 90651 |
|
141 |
139 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
20 |
16 |
$0.00 |