| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,208 |
5,559 |
$248K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,420 |
4,575 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,315 |
2,149 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,561 |
2,314 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,197 |
2,102 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
986 |
951 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,787 |
5,506 |
$45K |
| 99460 |
|
474 |
442 |
$32K |
| 90670 |
|
1,835 |
1,738 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
293 |
282 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
586 |
559 |
$18K |
| 90698 |
|
1,729 |
1,628 |
$9K |
| 88738 |
|
2,366 |
2,285 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
810 |
760 |
$8K |
| 92552 |
|
697 |
672 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
168 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
325 |
204 |
$3K |
| 90716 |
|
297 |
283 |
$3K |
| 87081 |
|
504 |
483 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
63 |
$2K |
| 90633 |
|
645 |
620 |
$1K |
| 99401 |
|
162 |
142 |
$1K |
| 90680 |
|
1,246 |
1,169 |
$1K |
| 90744 |
|
1,005 |
954 |
$1K |
| 85018 |
|
559 |
533 |
$1K |
| 90686 |
|
531 |
521 |
$798.49 |
| 90707 |
|
324 |
314 |
$766.78 |
| 54450 |
|
12 |
12 |
$622.68 |
| 90671 |
|
384 |
348 |
$515.41 |
| 99173 |
|
253 |
246 |
$483.93 |
| 99462 |
|
13 |
12 |
$415.12 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
28 |
$332.71 |
| 69210 |
|
24 |
13 |
$292.88 |
| 69209 |
|
25 |
17 |
$169.14 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
28 |
26 |
$35.71 |
| 90647 |
|
43 |
39 |
$16.00 |
| 90700 |
|
43 |
39 |
$15.30 |
| 90734 |
|
15 |
15 |
$12.00 |
| 90715 |
|
14 |
13 |
$9.00 |
| 90619 |
|
15 |
14 |
$9.00 |
| 90710 |
|
16 |
13 |
$8.00 |
| 90461 |
|
65 |
61 |
$5.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
29 |
26 |
$0.13 |
| 94760 |
|
44 |
40 |
$0.00 |