| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,352 |
3,626 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,315 |
1,164 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
957 |
905 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,190 |
1,917 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
883 |
786 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,664 |
2,098 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
647 |
590 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,681 |
1,503 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
719 |
644 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
57 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$4K |
| 90461 |
|
1,113 |
1,004 |
$2K |
| 99383 |
|
27 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
81 |
$2K |
| 87807 |
|
200 |
195 |
$2K |
| 99384 |
|
12 |
12 |
$1K |
| 92551 |
|
697 |
646 |
$1K |
| 90671 |
|
337 |
309 |
$905.68 |
| 99381 |
|
14 |
12 |
$851.02 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$627.46 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
118 |
87 |
$365.83 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
32 |
$290.36 |
| 81002 |
|
77 |
73 |
$177.61 |
| 94760 |
|
35 |
32 |
$22.46 |
| 85018 |
|
29 |
28 |
$20.30 |
| 90688 |
|
54 |
53 |
$17.35 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
35 |
32 |
$12.45 |
| 90697 |
|
94 |
84 |
$0.06 |
| 90670 |
|
455 |
448 |
$0.01 |
| 99173 |
|
575 |
544 |
$0.00 |
| 90633 |
|
249 |
226 |
$0.00 |
| 90710 |
|
123 |
122 |
$0.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
35 |
32 |
$0.00 |
| 90698 |
|
397 |
389 |
$0.00 |
| 90680 |
|
497 |
480 |
$0.00 |
| 90686 |
|
141 |
138 |
$0.00 |
| 90744 |
|
82 |
82 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
35 |
32 |
$0.00 |
| 90656 |
|
20 |
19 |
$0.00 |