| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,203 |
16,066 |
$1.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,593 |
4,353 |
$413K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,390 |
4,370 |
$360K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,186 |
4,180 |
$347K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,875 |
2,873 |
$264K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,244 |
12,087 |
$262K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,100 |
3,045 |
$235K |
| 90461 |
|
4,681 |
4,657 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,709 |
1,588 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,243 |
2,685 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
251 |
251 |
$23K |
| 92587 |
|
622 |
618 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,780 |
3,671 |
$20K |
| 90671 |
|
215 |
215 |
$17K |
| 90697 |
|
159 |
159 |
$13K |
| 96127 |
|
3,388 |
3,385 |
$8K |
| 90651 |
|
877 |
871 |
$8K |
| 99072 |
|
3,357 |
3,182 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
334 |
297 |
$6K |
| 99381 |
|
63 |
62 |
$5K |
| 99441 |
|
107 |
103 |
$4K |
| 90670 |
|
2,194 |
2,184 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
299 |
289 |
$3K |
| 86580 |
|
658 |
644 |
$3K |
| 81003 |
|
1,627 |
1,601 |
$2K |
| 90686 |
|
2,995 |
2,991 |
$2K |
| 90619 |
|
166 |
166 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90656 |
|
271 |
271 |
$768.29 |
| 90715 |
|
388 |
386 |
$586.71 |
| 99173 |
|
2,372 |
2,360 |
$444.80 |
| 90688 |
|
1,566 |
1,557 |
$442.10 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
21 |
$409.57 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
310 |
301 |
$408.96 |
| 96380 |
|
29 |
29 |
$397.32 |
| 90734 |
|
796 |
794 |
$331.46 |
| 92567 |
|
22 |
22 |
$252.45 |
| 90710 |
|
1,246 |
1,237 |
$243.81 |
| 90655 |
|
24 |
24 |
$189.75 |
| 90744 |
|
1,060 |
1,055 |
$118.46 |
| A7015 |
Aerosol mask, used with dme nebulizer |
269 |
260 |
$105.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$71.92 |
| 90633 |
|
1,372 |
1,368 |
$37.35 |
| 36415 |
Collection of venous blood by venipuncture |
7,916 |
7,788 |
$33.38 |
| 99406 |
|
24 |
24 |
$22.00 |
| 36410 |
|
26 |
26 |
$11.94 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
267 |
261 |
$11.13 |
| 90698 |
|
1,688 |
1,680 |
$0.00 |
| 90647 |
|
349 |
347 |
$0.00 |
| 3008F |
|
5,559 |
5,558 |
$0.00 |
| 99000 |
|
91 |
91 |
$0.00 |
| 90696 |
|
455 |
452 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$0.00 |
| 94660 |
|
15 |
13 |
$0.00 |
| 90681 |
|
1,058 |
1,055 |
$0.00 |
| 90685 |
|
72 |
71 |
$0.00 |
| 90700 |
|
389 |
389 |
$0.00 |
| 99408 |
|
24 |
24 |
$0.00 |
| 90713 |
|
57 |
57 |
$0.00 |
| 90687 |
|
32 |
32 |
$0.00 |