| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,222 |
1,989 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
603 |
577 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
246 |
246 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
258 |
252 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
445 |
431 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,674 |
1,200 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
148 |
$11K |
| S8301 |
Infection control supplies, not otherwise specified |
452 |
424 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
469 |
254 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
254 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
437 |
363 |
$3K |
| 94060 |
|
67 |
67 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
115 |
$3K |
| 92551 |
|
86 |
85 |
$815.06 |
| 96160 |
|
294 |
293 |
$618.36 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
176 |
174 |
$513.10 |
| 90461 |
|
201 |
112 |
$506.90 |
| 90686 |
|
537 |
537 |
$219.07 |
| 87807 |
|
13 |
13 |
$121.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
191 |
188 |
$10.65 |
| 1038F |
|
13 |
13 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |
| 90734 |
|
21 |
21 |
$0.00 |