| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,280 |
3,874 |
$351K |
| 92553 |
|
2,165 |
2,122 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,150 |
1,082 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
533 |
524 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
453 |
448 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,239 |
3,096 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
249 |
247 |
$19K |
| 86580 |
|
2,234 |
2,179 |
$16K |
| 99215 |
Prolong outpt/office vis |
150 |
138 |
$16K |
| 90688 |
|
1,114 |
1,079 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
736 |
736 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
568 |
532 |
$8K |
| 90651 |
|
123 |
117 |
$5K |
| 99173 |
|
2,211 |
2,164 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$2K |
| 99188 |
|
81 |
79 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
996 |
923 |
$1K |
| 94760 |
|
862 |
796 |
$1K |
| 90619 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$1K |
| 90734 |
|
34 |
31 |
$1K |
| 90713 |
|
82 |
81 |
$873.82 |
| 90685 |
|
76 |
73 |
$773.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
62 |
$755.34 |
| 90700 |
|
54 |
53 |
$604.50 |
| 90670 |
|
13 |
13 |
$533.72 |
| 90461 |
|
180 |
172 |
$341.90 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
26 |
$310.90 |
| 90633 |
|
27 |
27 |
$253.00 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
51 |
49 |
$251.13 |
| 90744 |
|
18 |
17 |
$212.35 |
| 90658 |
|
17 |
17 |
$186.85 |
| 90715 |
|
12 |
12 |
$154.86 |
| 99050 |
|
12 |
12 |
$122.30 |
| A7015 |
Aerosol mask, used with dme nebulizer |
105 |
100 |
$104.93 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
561 |
525 |
$21.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
51 |
51 |
$0.00 |