| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,275 |
940 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,362 |
880 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
102 |
96 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
65 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
54 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$2K |
| 99383 |
|
13 |
12 |
$675.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
544 |
339 |
$326.81 |
| 81002 |
|
506 |
436 |
$83.38 |
| 90461 |
|
188 |
95 |
$51.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
59 |
$39.74 |
| 81000 |
|
26 |
24 |
$23.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
86 |
59 |
$11.66 |
| 96161 |
|
243 |
222 |
$7.71 |
| 85018 |
|
26 |
25 |
$5.25 |
| 96127 |
|
808 |
674 |
$4.66 |
| A4927 |
Gloves, non-sterile, per 100 |
115 |
102 |
$4.00 |
| 99173 |
|
594 |
523 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
275 |
225 |
$0.00 |
| 99401 |
|
94 |
81 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
28 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
12 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 99188 |
|
14 |
13 |
$0.00 |
| 92551 |
|
744 |
639 |
$0.00 |
| 99000 |
|
952 |
789 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
45 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$0.00 |
| 99441 |
|
129 |
107 |
$0.00 |
| 36416 |
|
26 |
25 |
$0.00 |
| 94760 |
|
599 |
336 |
$0.00 |
| 86580 |
|
18 |
16 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
87 |
66 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
39 |
24 |
$0.00 |