| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,442 |
24,429 |
$912K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,347 |
6,324 |
$470K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,298 |
5,292 |
$420K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27,295 |
12,042 |
$284K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,888 |
3,818 |
$281K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,259 |
3,250 |
$276K |
| 99429 |
|
6,303 |
6,273 |
$201K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,852 |
11,484 |
$160K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,388 |
6,137 |
$147K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,766 |
2,683 |
$133K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,061 |
9,312 |
$95K |
| 99383 |
|
586 |
584 |
$50K |
| 99381 |
|
495 |
488 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,419 |
1,185 |
$32K |
| 99050 |
|
2,411 |
2,373 |
$32K |
| 99382 |
|
370 |
369 |
$32K |
| 90461 |
|
7,205 |
6,018 |
$30K |
| 83655 |
|
2,750 |
2,735 |
$28K |
| 99384 |
|
219 |
218 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
449 |
445 |
$19K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
101 |
97 |
$14K |
| 99000 |
|
1,413 |
1,332 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
183 |
183 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
315 |
311 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
924 |
868 |
$9K |
| 96160 |
|
4,171 |
4,156 |
$9K |
| 0001A |
|
88 |
88 |
$3K |
| 0071A |
|
49 |
49 |
$2K |
| 0002A |
|
45 |
45 |
$2K |
| 99080 |
|
58 |
58 |
$2K |
| 0072A |
|
40 |
40 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$2K |
| 92551 |
|
1,968 |
1,944 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
105 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32 |
31 |
$1K |
| 87807 |
|
129 |
127 |
$1K |
| 85018 |
|
703 |
699 |
$1K |
| 88720 |
|
123 |
116 |
$498.38 |
| 96380 |
|
17 |
16 |
$313.82 |
| 81002 |
|
56 |
55 |
$160.60 |
| 90670 |
|
2,362 |
2,350 |
$105.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$82.87 |
| 90723 |
|
1,619 |
1,609 |
$78.75 |
| 90680 |
|
1,818 |
1,809 |
$77.00 |
| 96127 |
|
928 |
845 |
$56.00 |
| 90648 |
|
2,657 |
2,649 |
$49.00 |
| 90688 |
|
364 |
362 |
$34.32 |
| 94760 |
|
16 |
16 |
$29.25 |
| 99174 |
|
120 |
119 |
$7.00 |
| 90677 |
|
664 |
664 |
$3.62 |
| 90671 |
|
603 |
599 |
$1.79 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.34 |
| 90620 |
|
573 |
573 |
$0.04 |
| 90686 |
|
1,490 |
1,486 |
$0.03 |
| 90734 |
|
1,389 |
1,383 |
$0.02 |
| 90700 |
|
607 |
607 |
$0.00 |
| 99173 |
|
2,094 |
2,067 |
$0.00 |
| 91300 |
|
181 |
167 |
$0.00 |
| 90710 |
|
1,820 |
1,814 |
$0.00 |
| 90715 |
|
572 |
567 |
$0.00 |
| 90633 |
|
2,260 |
2,255 |
$0.00 |
| 90707 |
|
90 |
90 |
$0.00 |
| 90651 |
|
1,100 |
1,097 |
$0.00 |
| 90698 |
|
352 |
350 |
$0.00 |
| 36416 |
|
263 |
254 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
135 |
127 |
$0.00 |
| 90696 |
|
798 |
796 |
$0.00 |
| 90716 |
|
95 |
95 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
45 |
$0.00 |
| 91307 |
|
89 |
79 |
$0.00 |
| 91305 |
|
17 |
16 |
$0.00 |