| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,451 |
5,708 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,249 |
2,095 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,129 |
1,044 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,118 |
1,077 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,868 |
1,762 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
299 |
276 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
295 |
279 |
$15K |
| 99000 |
|
2,289 |
2,035 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
730 |
692 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
110 |
107 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
186 |
183 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
240 |
222 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
594 |
567 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
382 |
195 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
364 |
338 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
947 |
800 |
$4K |
| 90461 |
|
1,722 |
1,336 |
$3K |
| 97803 |
|
1,266 |
1,178 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$1K |
| 90670 |
|
770 |
731 |
$1K |
| 99383 |
|
19 |
16 |
$1K |
| 90648 |
|
428 |
416 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
73 |
70 |
$1K |
| 99382 |
|
14 |
12 |
$902.65 |
| 87420 |
|
89 |
82 |
$658.88 |
| 90723 |
|
215 |
205 |
$525.60 |
| 90688 |
|
132 |
127 |
$417.85 |
| 81002 |
|
158 |
143 |
$398.08 |
| 90633 |
|
297 |
283 |
$315.41 |
| 87807 |
|
30 |
26 |
$300.62 |
| 90681 |
|
131 |
127 |
$197.11 |
| 90710 |
|
179 |
166 |
$170.85 |
| 97802 |
|
69 |
67 |
$170.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$94.08 |
| 90686 |
|
151 |
150 |
$92.70 |
| 99173 |
|
61 |
61 |
$82.10 |
| A7015 |
Aerosol mask, used with dme nebulizer |
61 |
58 |
$54.76 |
| 96127 |
|
40 |
26 |
$11.58 |
| 90697 |
|
178 |
165 |
$0.44 |
| 90677 |
|
138 |
133 |
$0.32 |
| 99401 |
|
1,366 |
1,263 |
$0.00 |
| 99072 |
|
370 |
339 |
$0.00 |
| 36416 |
|
80 |
70 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
59 |
56 |
$0.00 |