| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,954 |
2,632 |
$248K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,089 |
3,586 |
$240K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
894 |
881 |
$68K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
481 |
448 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
708 |
620 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
461 |
446 |
$34K |
| 99215 |
Prolong outpt/office vis |
190 |
161 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,062 |
999 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
275 |
246 |
$12K |
| 86408 |
|
387 |
347 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
126 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
678 |
607 |
$7K |
| 90686 |
|
446 |
430 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
197 |
181 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,110 |
2,779 |
$4K |
| 90670 |
|
153 |
141 |
$2K |
| 90461 |
|
6,298 |
1,663 |
$2K |
| 90698 |
|
147 |
134 |
$2K |
| 99173 |
|
762 |
734 |
$2K |
| 0072A |
|
34 |
32 |
$1K |
| 0071A |
|
31 |
31 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
83 |
66 |
$1K |
| 90710 |
|
30 |
29 |
$1K |
| 90651 |
|
39 |
39 |
$920.37 |
| 90633 |
|
67 |
62 |
$774.55 |
| 90696 |
|
27 |
26 |
$422.67 |
| 90685 |
|
31 |
28 |
$313.93 |
| 87807 |
|
21 |
21 |
$275.10 |
| 90680 |
|
25 |
24 |
$274.24 |
| 99188 |
|
12 |
12 |
$249.48 |
| 99072 |
|
1,320 |
1,142 |
$132.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
13 |
$106.21 |
| 99051 |
|
31 |
29 |
$78.25 |
| A7015 |
Aerosol mask, used with dme nebulizer |
82 |
66 |
$43.70 |
| 94761 |
|
82 |
66 |
$7.60 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
82 |
65 |
$4.86 |
| 91307 |
|
49 |
44 |
$0.32 |