| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,885 |
8,412 |
$557K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,618 |
4,886 |
$472K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,547 |
2,424 |
$189K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,195 |
2,096 |
$161K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,113 |
1,920 |
$140K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,635 |
3,257 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,172 |
1,129 |
$96K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,525 |
3,471 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,837 |
4,161 |
$59K |
| 90670 |
|
1,416 |
1,327 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,802 |
3,284 |
$31K |
| 90677 |
|
409 |
392 |
$29K |
| 90686 |
|
2,021 |
1,846 |
$21K |
| 92551 |
|
2,027 |
1,966 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
443 |
406 |
$15K |
| 90651 |
|
558 |
539 |
$15K |
| 99215 |
Prolong outpt/office vis |
114 |
100 |
$13K |
| 90674 |
|
935 |
917 |
$13K |
| 90633 |
|
999 |
951 |
$12K |
| 90697 |
|
284 |
271 |
$12K |
| 96127 |
|
2,280 |
2,194 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,977 |
6,610 |
$9K |
| 90681 |
|
487 |
452 |
$9K |
| 90734 |
|
382 |
369 |
$8K |
| 0071A |
|
162 |
150 |
$6K |
| 0072A |
|
152 |
143 |
$6K |
| 90461 |
|
3,213 |
2,984 |
$6K |
| 99173 |
|
2,276 |
2,171 |
$5K |
| 90648 |
|
521 |
482 |
$5K |
| 90698 |
|
301 |
294 |
$5K |
| 90723 |
|
330 |
302 |
$5K |
| 90710 |
|
167 |
163 |
$4K |
| 0001A |
|
96 |
89 |
$3K |
| 90661 |
|
282 |
281 |
$3K |
| 99401 |
|
216 |
213 |
$3K |
| 0002A |
|
68 |
68 |
$3K |
| 99381 |
|
26 |
26 |
$2K |
| 90696 |
|
106 |
102 |
$1K |
| 90715 |
|
110 |
109 |
$1K |
| 99000 |
|
1,667 |
1,217 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$986.40 |
| 90685 |
|
91 |
75 |
$909.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
128 |
103 |
$772.16 |
| 85018 |
|
337 |
307 |
$747.00 |
| 83655 |
|
65 |
56 |
$743.30 |
| 99051 |
|
395 |
352 |
$653.38 |
| 90716 |
|
47 |
47 |
$648.47 |
| 90707 |
|
41 |
41 |
$527.31 |
| 99050 |
|
39 |
39 |
$452.51 |
| 96160 |
|
184 |
157 |
$395.68 |
| 92552 |
|
13 |
13 |
$346.45 |
| 81001 |
|
147 |
110 |
$308.78 |
| 97802 |
|
65 |
63 |
$306.40 |
| 96161 |
|
60 |
52 |
$93.40 |
| A7015 |
Aerosol mask, used with dme nebulizer |
91 |
73 |
$90.90 |
| 94760 |
|
116 |
95 |
$74.59 |
| 36416 |
|
127 |
109 |
$43.99 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$13.68 |
| 87081 |
|
24 |
24 |
$6.63 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
38 |
27 |
$5.22 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
33 |
27 |
$4.74 |
| 91307 |
|
356 |
293 |
$2.42 |
| 91300 |
|
220 |
196 |
$0.14 |
| 91308 |
|
12 |
12 |
$0.10 |
| 90480 |
|
12 |
12 |
$0.00 |