| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,560 |
5,915 |
$648K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,076 |
7,114 |
$518K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,521 |
2,515 |
$197K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,734 |
2,440 |
$189K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,930 |
1,928 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,194 |
6,113 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
643 |
641 |
$56K |
| 99215 |
Prolong outpt/office vis |
249 |
245 |
$37K |
| 99188 |
|
1,426 |
1,425 |
$10K |
| D0190 |
|
754 |
751 |
$10K |
| 99174 |
|
2,556 |
2,555 |
$5K |
| 83655 |
|
387 |
386 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
49 |
46 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
45 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 85018 |
|
420 |
418 |
$949.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
58 |
$780.81 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$629.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
53 |
52 |
$405.22 |
| 92551 |
|
49 |
49 |
$404.90 |
| 70100 |
|
13 |
13 |
$309.44 |
| 99173 |
|
161 |
160 |
$14.89 |
| 90677 |
|
95 |
95 |
$0.16 |
| 90700 |
|
665 |
665 |
$0.00 |
| 90633 |
|
787 |
787 |
$0.00 |
| 90461 |
|
2,429 |
2,418 |
$0.00 |
| 90670 |
|
1,604 |
1,597 |
$0.00 |
| 90707 |
|
767 |
767 |
$0.00 |
| 90685 |
|
97 |
97 |
$0.00 |
| 90713 |
|
131 |
131 |
$0.00 |
| 90715 |
|
43 |
43 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 90734 |
|
62 |
62 |
$0.00 |
| 99051 |
|
15 |
14 |
$0.00 |
| 90744 |
|
486 |
484 |
$0.00 |
| 90680 |
|
1,010 |
1,004 |
$0.00 |
| 90698 |
|
1,249 |
1,243 |
$0.00 |
| 90686 |
|
1,348 |
1,344 |
$0.00 |
| 90716 |
|
712 |
712 |
$0.00 |
| 94760 |
|
133 |
129 |
$0.00 |
| 90651 |
|
126 |
126 |
$0.00 |
| 90619 |
|
67 |
67 |
$0.00 |
| 90647 |
|
26 |
26 |
$0.00 |
| 90656 |
|
127 |
127 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.00 |