| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,092 |
10,511 |
$743K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,133 |
3,784 |
$361K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,433 |
2,420 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,281 |
2,272 |
$159K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,204 |
1,198 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,210 |
5,126 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
813 |
786 |
$55K |
| 99051 |
|
7,655 |
6,868 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
483 |
474 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
628 |
603 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,786 |
3,546 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
674 |
642 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
139 |
138 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,681 |
2,615 |
$8K |
| 81002 |
|
4,805 |
4,660 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
239 |
229 |
$7K |
| 92553 |
|
321 |
321 |
$6K |
| 86580 |
|
1,421 |
1,402 |
$6K |
| 96127 |
|
1,893 |
1,875 |
$6K |
| 90621 |
|
257 |
255 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
7,092 |
6,816 |
$4K |
| 81000 |
|
1,126 |
1,100 |
$3K |
| 99442 |
|
44 |
42 |
$3K |
| 99401 |
|
268 |
250 |
$3K |
| 99173 |
|
4,842 |
4,816 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 90686 |
|
911 |
909 |
$942.22 |
| 92551 |
|
153 |
153 |
$941.05 |
| 90713 |
|
398 |
395 |
$768.81 |
| 90461 |
|
302 |
301 |
$574.08 |
| 90651 |
|
336 |
336 |
$322.38 |
| 90734 |
|
257 |
256 |
$311.40 |
| 36410 |
|
120 |
120 |
$275.08 |
| 99058 |
|
204 |
189 |
$233.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$211.68 |
| 81001 |
|
102 |
102 |
$203.05 |
| 99050 |
|
51 |
50 |
$190.43 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
12 |
12 |
$188.52 |
| 90670 |
|
332 |
330 |
$160.00 |
| 90716 |
|
142 |
141 |
$150.00 |
| 90744 |
|
219 |
217 |
$148.53 |
| 96160 |
|
49 |
49 |
$111.69 |
| 90715 |
|
76 |
74 |
$91.60 |
| 99000 |
|
4,425 |
4,012 |
$86.03 |
| 94760 |
|
1,024 |
1,004 |
$39.38 |
| A7015 |
Aerosol mask, used with dme nebulizer |
36 |
36 |
$15.93 |
| 90700 |
|
709 |
703 |
$0.00 |
| 90648 |
|
236 |
235 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 90707 |
|
85 |
85 |
$0.00 |
| 4124F |
|
19 |
17 |
$0.00 |
| 1005F |
|
17 |
16 |
$0.00 |
| 90619 |
|
33 |
33 |
$0.00 |