| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,948 |
1,688 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,010 |
1,748 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
617 |
571 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,445 |
1,040 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
880 |
827 |
$27K |
| 99383 |
|
212 |
208 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
173 |
172 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
142 |
136 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
743 |
698 |
$12K |
| 99384 |
|
60 |
60 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
603 |
489 |
$5K |
| 99000 |
|
449 |
402 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
400 |
375 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
48 |
$4K |
| 99429 |
|
141 |
141 |
$3K |
| 99382 |
|
29 |
29 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
821 |
731 |
$2K |
| 87807 |
|
235 |
225 |
$2K |
| 99381 |
|
39 |
34 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$964.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
41 |
$851.93 |
| 94760 |
|
840 |
767 |
$840.35 |
| 96380 |
|
31 |
31 |
$564.06 |
| 87420 |
|
126 |
115 |
$527.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
38 |
$514.31 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
166 |
157 |
$451.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$234.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
30 |
$159.39 |
| 96160 |
|
105 |
102 |
$151.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$108.78 |
| 90461 |
|
176 |
139 |
$53.00 |
| 81003 |
|
38 |
35 |
$38.57 |
| 97169 |
|
14 |
14 |
$30.00 |
| 90671 |
|
396 |
390 |
$0.96 |
| 90697 |
|
208 |
204 |
$0.47 |
| 90381 |
|
21 |
21 |
$0.05 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.04 |
| 84030 |
|
18 |
17 |
$0.02 |
| 90619 |
|
37 |
35 |
$0.02 |
| 90633 |
|
160 |
157 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 90658 |
|
76 |
76 |
$0.00 |
| 90715 |
|
18 |
16 |
$0.00 |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
14 |
14 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 96161 |
|
786 |
697 |
$0.00 |
| 90680 |
|
235 |
232 |
$0.00 |
| 90698 |
|
39 |
39 |
$0.00 |
| 36416 |
|
172 |
146 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
14 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| 96127 |
|
26 |
24 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |
| 90651 |
|
21 |
19 |
$0.00 |