| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,865 |
8,600 |
$623K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,105 |
3,699 |
$363K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,801 |
4,303 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,008 |
1,005 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
838 |
838 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
826 |
826 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,776 |
1,655 |
$71K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,269 |
1,166 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,183 |
2,993 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,758 |
2,219 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
273 |
272 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,621 |
1,062 |
$22K |
| 96127 |
|
3,225 |
3,204 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
384 |
348 |
$12K |
| 96160 |
|
2,992 |
2,965 |
$5K |
| 90461 |
|
699 |
686 |
$5K |
| 92551 |
|
320 |
317 |
$3K |
| 99177 |
|
743 |
742 |
$3K |
| 90686 |
|
409 |
409 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
184 |
158 |
$2K |
| 90670 |
|
24 |
24 |
$2K |
| 99173 |
|
1,061 |
1,044 |
$1K |
| 90688 |
|
44 |
44 |
$700.21 |
| 90734 |
|
17 |
17 |
$700.05 |
| 99000 |
|
5,332 |
4,849 |
$268.45 |
| 36406 |
|
25 |
24 |
$266.92 |
| 92567 |
|
15 |
15 |
$165.65 |
| A7015 |
Aerosol mask, used with dme nebulizer |
133 |
115 |
$141.22 |
| 94664 |
|
13 |
12 |
$68.36 |
| 90700 |
|
14 |
14 |
$65.76 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
58 |
52 |
$13.00 |
| 81002 |
|
13 |
13 |
$11.32 |
| 99051 |
|
405 |
397 |
$2.00 |
| 99072 |
|
779 |
648 |
$0.00 |
| 4124F |
|
105 |
102 |
$0.00 |