| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,188 |
5,168 |
$156K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,900 |
5,877 |
$150K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,902 |
15,331 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,773 |
3,751 |
$101K |
| 92551 |
|
12,251 |
12,246 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,050 |
1,031 |
$47K |
| 90651 |
|
2,100 |
2,087 |
$34K |
| 90686 |
|
3,589 |
3,581 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
870 |
866 |
$17K |
| 0001A |
|
413 |
413 |
$16K |
| 0002A |
|
378 |
377 |
$15K |
| 92552 |
|
1,338 |
1,338 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,239 |
4,216 |
$13K |
| 0071A |
|
259 |
259 |
$10K |
| 0072A |
|
189 |
189 |
$8K |
| 0124A |
|
189 |
189 |
$8K |
| 90670 |
|
1,289 |
1,286 |
$6K |
| 97802 |
|
6,586 |
6,586 |
$6K |
| 90734 |
|
1,575 |
1,572 |
$5K |
| 81000 |
|
6,481 |
6,469 |
$5K |
| 90480 |
|
108 |
108 |
$4K |
| 90697 |
|
55 |
55 |
$4K |
| 0004A |
|
82 |
82 |
$3K |
| 99173 |
|
2,076 |
2,075 |
$3K |
| 90698 |
|
711 |
709 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
424 |
256 |
$3K |
| 0054A |
|
72 |
72 |
$3K |
| 90620 |
|
887 |
875 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
115 |
109 |
$2K |
| 90744 |
|
443 |
443 |
$2K |
| 0154A |
|
48 |
48 |
$2K |
| 90633 |
|
661 |
661 |
$2K |
| 99381 |
|
31 |
31 |
$2K |
| 90681 |
|
184 |
183 |
$1K |
| 90674 |
|
279 |
279 |
$1K |
| 0121A |
|
30 |
30 |
$1K |
| 90710 |
|
322 |
322 |
$1K |
| 90715 |
|
410 |
408 |
$877.50 |
| 0074A |
|
21 |
21 |
$840.00 |
| 99383 |
|
15 |
15 |
$791.14 |
| 99384 |
|
12 |
12 |
$706.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
125 |
122 |
$681.66 |
| 91320 |
|
74 |
74 |
$628.00 |
| 90696 |
|
275 |
275 |
$594.00 |
| 90688 |
|
99 |
99 |
$519.20 |
| 81003 |
|
207 |
207 |
$489.47 |
| 0081A |
|
12 |
12 |
$480.00 |
| 90656 |
|
118 |
115 |
$477.00 |
| 90685 |
|
34 |
28 |
$451.12 |
| 90671 |
|
168 |
168 |
$450.00 |
| 90707 |
|
99 |
99 |
$306.00 |
| 90716 |
|
98 |
98 |
$171.00 |
| 90648 |
|
51 |
51 |
$153.00 |
| 90700 |
|
87 |
85 |
$117.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
36 |
36 |
$60.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
35 |
33 |
$60.00 |
| 96127 |
|
882 |
882 |
$48.00 |
| 94760 |
|
72 |
70 |
$22.12 |
| J7510 |
Prednisolone oral, per 5 mg |
97 |
95 |
$12.00 |
| 92081 |
|
8,999 |
8,994 |
$11.02 |
| 3078F |
|
241 |
224 |
$0.00 |
| 96156 |
|
400 |
400 |
$0.00 |
| 3074F |
|
248 |
230 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,994 |
1,994 |
$0.00 |
| 96151 |
|
32 |
32 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
37 |
$0.00 |
| 91319 |
|
19 |
19 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
13 |
13 |
$0.00 |