| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,922 |
9,531 |
$628K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,335 |
5,992 |
$273K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,639 |
1,533 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,197 |
3,921 |
$156K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,369 |
2,116 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
999 |
963 |
$71K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,426 |
1,347 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
841 |
768 |
$50K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
918 |
859 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
479 |
467 |
$32K |
| 92583 |
|
1,158 |
1,031 |
$30K |
| 99177 |
|
2,711 |
2,470 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,216 |
1,155 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
684 |
292 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
103 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
381 |
345 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
120 |
$4K |
| 36416 |
|
1,195 |
1,136 |
$4K |
| 83655 |
|
116 |
112 |
$2K |
| 92552 |
|
123 |
123 |
$2K |
| 96127 |
|
391 |
334 |
$2K |
| 96160 |
|
29 |
29 |
$765.45 |
| 90677 |
|
14 |
12 |
$643.22 |
| 87807 |
|
50 |
39 |
$596.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
24 |
$482.76 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
136 |
$433.24 |
| 90670 |
|
205 |
184 |
$263.68 |
| 81003 |
|
74 |
66 |
$165.57 |
| 90686 |
|
141 |
140 |
$64.83 |
| 90647 |
|
44 |
43 |
$33.77 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
28 |
24 |
$1.20 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90723 |
|
65 |
61 |
$0.00 |