| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,460 |
10,734 |
$1.05M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,820 |
1,803 |
$249K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,880 |
1,862 |
$234K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,008 |
1,985 |
$227K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,010 |
992 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,351 |
1,295 |
$146K |
| 99442 |
|
1,593 |
1,474 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,448 |
5,377 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
639 |
627 |
$9K |
| 90461 |
|
1,165 |
1,143 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
890 |
437 |
$4K |
| 90670 |
|
200 |
194 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
670 |
657 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| 90651 |
|
215 |
214 |
$1K |
| 97802 |
|
3,153 |
3,086 |
$508.03 |
| 90734 |
|
119 |
116 |
$425.35 |
| 90698 |
|
76 |
75 |
$381.24 |
| 90716 |
|
117 |
114 |
$364.54 |
| 99050 |
|
71 |
71 |
$353.01 |
| 90619 |
|
34 |
32 |
$324.90 |
| 90685 |
|
34 |
34 |
$211.89 |
| 90707 |
|
59 |
57 |
$211.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$210.26 |
| 96160 |
|
288 |
287 |
$182.84 |
| 90686 |
|
1,063 |
1,050 |
$104.16 |
| 90671 |
|
61 |
61 |
$0.01 |
| 90656 |
|
47 |
45 |
$0.01 |
| 90633 |
|
67 |
66 |
$0.00 |
| 90700 |
|
57 |
55 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,261 |
3,123 |
$0.00 |
| 90680 |
|
72 |
71 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
45 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$0.00 |
| 90677 |
|
29 |
29 |
$0.00 |