| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,015 |
15,251 |
$662K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,924 |
1,911 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,383 |
1,378 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,381 |
1,346 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,437 |
4,305 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
906 |
906 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,471 |
1,367 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,247 |
3,162 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,246 |
2,210 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,724 |
1,643 |
$25K |
| 92551 |
|
1,538 |
1,531 |
$17K |
| 90461 |
|
1,031 |
1,011 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
413 |
408 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,078 |
1,060 |
$11K |
| 99173 |
|
2,647 |
2,567 |
$10K |
| 90686 |
|
1,232 |
1,199 |
$6K |
| 90670 |
|
256 |
250 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
255 |
251 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
277 |
140 |
$3K |
| 96127 |
|
774 |
771 |
$2K |
| 0072A |
|
53 |
53 |
$2K |
| 0071A |
|
36 |
36 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
29 |
$1K |
| 90474 |
|
92 |
91 |
$979.74 |
| 0001A |
|
18 |
18 |
$698.93 |
| 0002A |
|
15 |
15 |
$580.99 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
62 |
60 |
$453.12 |
| 36416 |
|
66 |
62 |
$397.51 |
| 90707 |
|
12 |
12 |
$378.36 |
| 90715 |
|
39 |
37 |
$373.67 |
| 90698 |
|
112 |
109 |
$321.16 |
| 90651 |
|
15 |
15 |
$253.60 |
| 90633 |
|
36 |
36 |
$147.68 |
| 90656 |
|
128 |
128 |
$147.05 |
| 90680 |
|
54 |
51 |
$93.19 |
| 94760 |
|
133 |
122 |
$88.71 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
61 |
59 |
$61.00 |
| 83655 |
|
40 |
36 |
$35.56 |
| 91307 |
|
76 |
69 |
$14.00 |
| 99072 |
|
371 |
345 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |