| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,522 |
8,277 |
$736K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,006 |
5,498 |
$309K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,719 |
5,578 |
$227K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,491 |
2,466 |
$199K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,279 |
2,253 |
$183K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,265 |
2,215 |
$171K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,122 |
1,111 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,850 |
1,746 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
665 |
642 |
$22K |
| 90461 |
|
908 |
815 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
630 |
624 |
$14K |
| 99381 |
|
155 |
155 |
$13K |
| 92551 |
|
1,473 |
1,432 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
497 |
471 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
71 |
$7K |
| 94760 |
|
5,420 |
4,647 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
102 |
$7K |
| 0071A |
|
65 |
64 |
$5K |
| 99188 |
|
351 |
347 |
$4K |
| 0072A |
|
42 |
41 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
237 |
210 |
$3K |
| 94664 |
|
239 |
212 |
$3K |
| 99173 |
|
1,652 |
1,270 |
$3K |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
241 |
210 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 99383 |
|
14 |
13 |
$1K |
| 0081A |
|
14 |
14 |
$1K |
| 69210 |
|
21 |
17 |
$825.53 |
| 96127 |
|
139 |
139 |
$629.57 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
242 |
211 |
$247.23 |
| 90670 |
|
1,388 |
1,285 |
$206.86 |
| A7015 |
Aerosol mask, used with dme nebulizer |
254 |
223 |
$183.11 |
| 99401 |
|
13 |
12 |
$116.04 |
| 81002 |
|
26 |
25 |
$76.50 |
| 90723 |
|
625 |
579 |
$68.61 |
| 90686 |
|
1,320 |
1,171 |
$33.44 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
237 |
212 |
$9.83 |
| 90648 |
|
883 |
821 |
$5.35 |
| 90710 |
|
297 |
274 |
$0.00 |
| 90681 |
|
145 |
139 |
$0.00 |
| 90633 |
|
450 |
409 |
$0.00 |
| 90649 |
|
85 |
82 |
$0.00 |
| 90685 |
|
126 |
107 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90680 |
|
273 |
255 |
$0.00 |
| 91307 |
|
32 |
29 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90697 |
|
25 |
25 |
$0.00 |
| 90651 |
|
41 |
41 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |