| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,674 |
13,287 |
$942K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,305 |
8,595 |
$860K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,970 |
7,888 |
$290K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,763 |
2,626 |
$212K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,179 |
2,178 |
$175K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,655 |
1,654 |
$131K |
| 92552 |
|
4,327 |
4,323 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
948 |
948 |
$83K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,217 |
2,180 |
$73K |
| 87631 |
|
676 |
660 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,073 |
632 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,697 |
1,636 |
$16K |
| 96127 |
|
2,680 |
2,147 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
343 |
342 |
$11K |
| 83655 |
|
638 |
638 |
$6K |
| 99173 |
|
2,548 |
2,546 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
249 |
213 |
$3K |
| 99188 |
|
174 |
174 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
283 |
283 |
$2K |
| 85018 |
|
639 |
639 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99460 |
|
16 |
16 |
$1K |
| 92558 |
|
202 |
201 |
$1K |
| 96160 |
|
477 |
477 |
$918.92 |
| 0072A |
|
21 |
21 |
$836.43 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$716.52 |
| 0071A |
|
13 |
13 |
$515.24 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
245 |
215 |
$180.82 |
| 81003 |
|
71 |
68 |
$120.49 |
| 90686 |
|
252 |
245 |
$65.62 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
248 |
211 |
$20.85 |
| 94760 |
|
605 |
546 |
$3.90 |
| 90671 |
|
28 |
28 |
$0.15 |
| 90677 |
|
14 |
14 |
$0.06 |
| 90648 |
|
53 |
53 |
$0.00 |
| 90670 |
|
65 |
65 |
$0.00 |
| 99070 |
|
446 |
436 |
$0.00 |
| 90656 |
|
41 |
41 |
$0.00 |
| 99000 |
|
155 |
153 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |