| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,079 |
20,478 |
$874K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,521 |
5,185 |
$365K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,193 |
6,893 |
$365K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,818 |
4,611 |
$303K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,468 |
2,429 |
$187K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,629 |
1,756 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,637 |
3,459 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
353 |
349 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
888 |
863 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
368 |
362 |
$19K |
| 96127 |
|
2,965 |
2,770 |
$16K |
| 87807 |
|
867 |
845 |
$11K |
| 96161 |
|
1,761 |
1,701 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$4K |
| 99215 |
Prolong outpt/office vis |
44 |
42 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
76 |
$2K |
| 90670 |
|
2,008 |
1,972 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
28 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
155 |
146 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
111 |
97 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
64 |
$966.73 |
| 95117 |
|
60 |
26 |
$790.04 |
| 0071A |
|
18 |
18 |
$744.80 |
| 90723 |
|
1,462 |
1,441 |
$579.27 |
| 87420 |
|
38 |
37 |
$535.19 |
| 90681 |
|
396 |
384 |
$325.07 |
| 90677 |
|
207 |
205 |
$312.94 |
| 90686 |
|
1,002 |
989 |
$306.17 |
| 90647 |
|
1,471 |
1,440 |
$188.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
17 |
$182.82 |
| 90633 |
|
140 |
140 |
$29.55 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
103 |
96 |
$6.17 |
| 3078F |
|
2,637 |
2,545 |
$0.02 |
| 3074F |
|
2,704 |
2,603 |
$0.02 |
| 3725F |
|
1,238 |
1,196 |
$0.00 |
| 1160F |
|
487 |
459 |
$0.00 |
| 1159F |
|
486 |
458 |
$0.00 |
| 3008F |
|
5,624 |
5,342 |
$0.00 |
| 1036F |
|
6,328 |
5,763 |
$0.00 |
| 90656 |
|
72 |
72 |
$0.00 |
| 91307 |
|
22 |
20 |
$0.00 |