| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,186 |
6,501 |
$1.04M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,125 |
1,837 |
$335K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,643 |
1,641 |
$279K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,137 |
1,134 |
$189K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,668 |
3,650 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,431 |
1,385 |
$129K |
| 99460 |
|
778 |
775 |
$121K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
778 |
772 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
411 |
411 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
313 |
$61K |
| 99188 |
|
1,541 |
1,539 |
$30K |
| 99462 |
|
341 |
310 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
313 |
310 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
246 |
243 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
459 |
456 |
$7K |
| 99383 |
|
28 |
28 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
307 |
$5K |
| 87807 |
|
292 |
290 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
111 |
$3K |
| 99382 |
|
12 |
12 |
$2K |
| 0071A |
|
39 |
39 |
$2K |
| 0072A |
|
29 |
29 |
$1K |
| 90651 |
|
82 |
82 |
$501.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
19 |
$351.00 |
| 90619 |
|
26 |
26 |
$145.46 |
| 90686 |
|
533 |
533 |
$101.38 |
| 90633 |
|
571 |
569 |
$37.26 |
| 90700 |
|
519 |
519 |
$0.00 |
| 90707 |
|
445 |
445 |
$0.00 |
| 90685 |
|
310 |
310 |
$0.00 |
| 96160 |
|
1,845 |
1,843 |
$0.00 |
| 90713 |
|
95 |
95 |
$0.00 |
| 90670 |
|
866 |
865 |
$0.00 |
| 90671 |
|
296 |
296 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90710 |
|
44 |
44 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 90658 |
|
63 |
63 |
$0.00 |
| 90680 |
|
919 |
919 |
$0.00 |
| 90647 |
|
997 |
996 |
$0.00 |
| 90723 |
|
990 |
990 |
$0.00 |
| 90716 |
|
466 |
466 |
$0.00 |
| 90677 |
|
169 |
169 |
$0.00 |
| 91307 |
|
82 |
77 |
$0.00 |