| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,515 |
2,280 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,015 |
3,522 |
$289K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
723 |
702 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
577 |
566 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
526 |
504 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
212 |
183 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,781 |
1,664 |
$24K |
| 90461 |
|
593 |
535 |
$15K |
| 92552 |
|
2,039 |
1,955 |
$11K |
| 99215 |
Prolong outpt/office vis |
48 |
48 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
31 |
31 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
322 |
312 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
466 |
433 |
$1K |
| 94667 |
|
188 |
182 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
21 |
$629.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
152 |
$470.78 |
| 90670 |
|
81 |
79 |
$377.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
190 |
184 |
$340.47 |
| 0071A |
|
14 |
14 |
$199.70 |
| 90686 |
|
864 |
826 |
$175.99 |
| 0072A |
|
13 |
13 |
$119.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
470 |
454 |
$90.00 |
| 99177 |
|
1,895 |
1,817 |
$62.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
207 |
203 |
$20.00 |
| 90651 |
|
47 |
47 |
$10.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 90698 |
|
66 |
63 |
$0.00 |
| 96127 |
|
42 |
41 |
$0.00 |
| 85018 |
|
27 |
26 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
132 |
128 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |
| 91307 |
|
33 |
31 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$0.00 |
| 90633 |
|
26 |
24 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
145 |
141 |
$0.00 |
| 90734 |
|
49 |
49 |
$0.00 |