| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,062 |
11,560 |
$674K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,338 |
4,057 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,822 |
1,626 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
867 |
845 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
581 |
556 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
417 |
$35K |
| 90461 |
|
1,438 |
1,186 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
410 |
401 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
308 |
292 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
943 |
475 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
236 |
224 |
$10K |
| 0071A |
|
79 |
64 |
$5K |
| 99383 |
|
49 |
49 |
$5K |
| 0072A |
|
54 |
47 |
$4K |
| 0002A |
|
69 |
69 |
$3K |
| 0001A |
|
62 |
62 |
$3K |
| 99173 |
|
1,508 |
1,363 |
$2K |
| 99381 |
|
26 |
24 |
$2K |
| 0012A |
|
73 |
71 |
$2K |
| 96127 |
|
472 |
465 |
$2K |
| 0011A |
|
62 |
61 |
$1K |
| 95117 |
|
149 |
51 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
28 |
$758.71 |
| 94760 |
|
335 |
259 |
$704.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$459.34 |
| 99051 |
|
59 |
39 |
$405.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$345.26 |
| 90686 |
|
266 |
254 |
$313.59 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$192.04 |
| 81002 |
|
66 |
62 |
$190.27 |
| 90474 |
|
17 |
12 |
$130.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$129.24 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
25 |
$108.20 |
| 96160 |
|
100 |
78 |
$106.49 |
| 99000 |
|
18 |
16 |
$40.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
33 |
33 |
$30.43 |
| 90670 |
|
49 |
46 |
$16.81 |
| 90671 |
|
68 |
52 |
$14.13 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$1.42 |
| 91300 |
|
49 |
48 |
$0.02 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
215 |
186 |
$0.00 |
| 90680 |
|
18 |
13 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |