| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,112 |
8,534 |
$646K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,785 |
8,670 |
$408K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,198 |
4,015 |
$369K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,039 |
2,829 |
$314K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,650 |
2,650 |
$249K |
| 54150 |
|
627 |
627 |
$57K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
446 |
437 |
$22K |
| 96161 |
|
2,698 |
2,506 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
140 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
114 |
112 |
$9K |
| 92551 |
|
835 |
835 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
243 |
243 |
$4K |
| 99381 |
|
42 |
42 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
416 |
403 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
205 |
200 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$436.37 |
| 0071A |
|
14 |
14 |
$434.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$415.63 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$184.20 |
| 99173 |
|
70 |
70 |
$170.55 |
| 96127 |
|
24 |
24 |
$100.11 |
| 85018 |
|
29 |
29 |
$61.19 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$24.24 |
| 90686 |
|
1,569 |
1,569 |
$20.19 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$1.60 |
| 90656 |
|
161 |
161 |
$0.20 |
| 90677 |
|
70 |
70 |
$0.09 |
| 90700 |
|
57 |
57 |
$0.00 |
| 90707 |
|
159 |
159 |
$0.00 |
| 90648 |
|
2,457 |
2,457 |
$0.00 |
| 90670 |
|
2,375 |
2,374 |
$0.00 |
| 99072 |
|
125 |
121 |
$0.00 |
| 90633 |
|
84 |
84 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90716 |
|
141 |
141 |
$0.00 |
| 90723 |
|
1,619 |
1,618 |
$0.00 |
| 90680 |
|
1,103 |
1,103 |
$0.00 |
| 90688 |
|
291 |
291 |
$0.00 |