| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,579 |
6,787 |
$307K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,301 |
2,892 |
$168K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,157 |
2,044 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,656 |
1,606 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,867 |
1,727 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,793 |
5,274 |
$131K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,793 |
2,647 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
855 |
818 |
$73K |
| 99429 |
|
1,923 |
1,818 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,153 |
1,720 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,746 |
3,743 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,073 |
1,958 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,078 |
818 |
$24K |
| 99381 |
|
318 |
283 |
$21K |
| 92551 |
|
2,043 |
1,931 |
$18K |
| 99383 |
|
161 |
150 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
154 |
$9K |
| 90461 |
|
3,417 |
1,771 |
$9K |
| 87807 |
|
863 |
813 |
$9K |
| 99000 |
|
753 |
710 |
$7K |
| 83655 |
|
632 |
596 |
$6K |
| 99382 |
|
48 |
45 |
$4K |
| 81002 |
|
531 |
487 |
$1K |
| 96127 |
|
1,335 |
1,241 |
$1K |
| 85018 |
|
720 |
674 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$854.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
68 |
$852.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
83 |
50 |
$851.16 |
| 92587 |
|
86 |
73 |
$799.52 |
| 90619 |
|
253 |
231 |
$624.17 |
| 96380 |
|
33 |
32 |
$553.61 |
| 81003 |
|
291 |
263 |
$512.94 |
| 86580 |
|
32 |
24 |
$170.94 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$120.43 |
| 90686 |
|
2,159 |
2,101 |
$50.01 |
| 36416 |
|
1,282 |
780 |
$49.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
23 |
14 |
$31.50 |
| 90698 |
|
808 |
778 |
$27.50 |
| A7015 |
Aerosol mask, used with dme nebulizer |
23 |
14 |
$21.00 |
| 99173 |
|
1,767 |
1,673 |
$10.85 |
| 90697 |
|
220 |
212 |
$0.96 |
| 90677 |
|
447 |
426 |
$0.39 |
| 90620 |
|
87 |
77 |
$0.10 |
| 90381 |
|
14 |
14 |
$0.06 |
| 90651 |
|
427 |
407 |
$0.02 |
| 90670 |
|
887 |
850 |
$0.00 |
| 90707 |
|
230 |
219 |
$0.00 |
| 90633 |
|
834 |
798 |
$0.00 |
| 90710 |
|
175 |
167 |
$0.00 |
| 90715 |
|
47 |
41 |
$0.00 |
| 90700 |
|
130 |
128 |
$0.00 |
| 90648 |
|
140 |
134 |
$0.00 |
| 90713 |
|
14 |
12 |
$0.00 |
| 90680 |
|
970 |
940 |
$0.00 |
| 90744 |
|
431 |
407 |
$0.00 |
| 90696 |
|
105 |
98 |
$0.00 |
| 90716 |
|
240 |
231 |
$0.00 |