| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,157 |
10,310 |
$472K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,277 |
1,226 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,039 |
1,002 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,568 |
1,431 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
873 |
810 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,118 |
1,932 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,956 |
3,607 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
707 |
680 |
$51K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,156 |
1,059 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,959 |
1,787 |
$47K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,568 |
1,174 |
$32K |
| 99429 |
|
1,039 |
988 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,930 |
3,620 |
$24K |
| 99000 |
|
1,718 |
1,613 |
$17K |
| 92567 |
|
1,295 |
1,199 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,781 |
1,338 |
$14K |
| S8301 |
Infection control supplies, not otherwise specified |
344 |
317 |
$8K |
| 87807 |
|
578 |
541 |
$6K |
| 90461 |
|
1,510 |
1,228 |
$5K |
| 99050 |
|
282 |
270 |
$4K |
| 96160 |
|
736 |
697 |
$1K |
| 81005 |
|
376 |
343 |
$644.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
26 |
$386.37 |
| 99354 |
|
14 |
12 |
$237.20 |
| 85651 |
|
63 |
54 |
$157.96 |
| 86580 |
|
12 |
12 |
$77.52 |
| 90658 |
|
134 |
130 |
$61.90 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
29 |
26 |
$6.12 |
| 96161 |
|
20 |
20 |
$2.25 |
| 90680 |
|
237 |
229 |
$0.00 |
| 96127 |
|
21 |
15 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| 90651 |
|
30 |
25 |
$0.00 |
| 90716 |
|
131 |
123 |
$0.00 |
| 90723 |
|
44 |
44 |
$0.00 |
| 90648 |
|
324 |
309 |
$0.00 |
| 99188 |
|
100 |
100 |
$0.00 |
| 90707 |
|
129 |
121 |
$0.00 |
| 90670 |
|
643 |
608 |
$0.00 |
| 90633 |
|
164 |
163 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90734 |
|
49 |
44 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |