| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,856 |
12,574 |
$953K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,055 |
6,760 |
$656K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,244 |
2,108 |
$210K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,089 |
2,000 |
$190K |
| 97802 |
|
5,872 |
5,434 |
$180K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,561 |
5,187 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,931 |
1,755 |
$167K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,532 |
1,445 |
$148K |
| 87428 |
|
1,813 |
1,516 |
$96K |
| 90461 |
|
2,526 |
2,312 |
$47K |
| 99188 |
|
1,226 |
1,172 |
$21K |
| 90670 |
|
1,069 |
984 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
586 |
542 |
$12K |
| 99381 |
|
69 |
56 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
503 |
435 |
$5K |
| 83655 |
|
326 |
320 |
$4K |
| 90651 |
|
405 |
398 |
$3K |
| 90716 |
|
525 |
471 |
$3K |
| 90744 |
|
387 |
350 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$2K |
| 90619 |
|
121 |
91 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 85018 |
|
492 |
463 |
$908.60 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
18 |
13 |
$769.93 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$521.41 |
| 90620 |
|
190 |
176 |
$512.62 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
86 |
56 |
$379.51 |
| 81002 |
|
35 |
29 |
$109.76 |
| 90715 |
|
166 |
166 |
$40.00 |
| 90633 |
|
526 |
474 |
$39.85 |
| 90686 |
|
325 |
259 |
$35.94 |
| 90698 |
|
821 |
754 |
$35.00 |
| 90700 |
|
529 |
471 |
$32.88 |
| 90680 |
|
635 |
582 |
$25.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
30 |
$2.32 |
| 90734 |
|
247 |
244 |
$0.00 |
| 90707 |
|
450 |
401 |
$0.00 |
| 90713 |
|
172 |
151 |
$0.00 |
| 90685 |
|
98 |
96 |
$0.00 |
| 90648 |
|
33 |
29 |
$0.00 |
| 90677 |
|
64 |
61 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
12 |
12 |
$0.00 |