| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,821 |
9,384 |
$389K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,172 |
3,013 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,885 |
1,885 |
$155K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,757 |
1,754 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,349 |
1,347 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,355 |
1,301 |
$101K |
| 92552 |
|
3,556 |
3,550 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,354 |
2,924 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
851 |
844 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
466 |
461 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,438 |
1,404 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,066 |
1,500 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
895 |
440 |
$12K |
| 90461 |
|
1,434 |
1,208 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
227 |
215 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$2K |
| 96160 |
|
1,167 |
1,065 |
$1K |
| 83655 |
|
248 |
248 |
$915.30 |
| 69210 |
|
12 |
12 |
$390.10 |
| 87807 |
|
32 |
31 |
$352.00 |
| 81002 |
|
70 |
69 |
$201.92 |
| 90686 |
|
1,091 |
1,089 |
$36.38 |
| 85018 |
|
39 |
39 |
$15.92 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
195 |
183 |
$8.89 |
| 99173 |
|
2,493 |
2,439 |
$0.00 |
| 90670 |
|
679 |
678 |
$0.00 |
| 94664 |
|
13 |
13 |
$0.00 |
| 90633 |
|
198 |
198 |
$0.00 |
| 90710 |
|
66 |
66 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| 90734 |
|
47 |
47 |
$0.00 |
| 99072 |
|
19 |
19 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
247 |
247 |
$0.00 |
| 90698 |
|
471 |
469 |
$0.00 |
| 90620 |
|
61 |
61 |
$0.00 |
| 90697 |
|
49 |
49 |
$0.00 |
| 90619 |
|
78 |
78 |
$0.00 |
| 90651 |
|
219 |
218 |
$0.00 |
| 90680 |
|
197 |
197 |
$0.00 |
| 36416 |
|
39 |
39 |
$0.00 |
| 90744 |
|
54 |
54 |
$0.00 |
| 90696 |
|
55 |
55 |
$0.00 |