| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,538 |
12,856 |
$710K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,999 |
4,242 |
$325K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
7,562 |
6,386 |
$276K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,341 |
6,501 |
$143K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,253 |
10,051 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,689 |
4,721 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
896 |
883 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
688 |
681 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
556 |
540 |
$34K |
| 90651 |
|
197 |
188 |
$22K |
| 99188 |
|
805 |
772 |
$19K |
| 86580 |
|
3,305 |
3,198 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,512 |
1,464 |
$13K |
| 92567 |
|
1,047 |
999 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
147 |
133 |
$8K |
| 92583 |
|
349 |
349 |
$8K |
| 90686 |
|
1,416 |
1,382 |
$7K |
| 90461 |
|
844 |
555 |
$4K |
| 99173 |
|
1,807 |
1,765 |
$3K |
| 90621 |
|
26 |
19 |
$3K |
| 96127 |
|
1,159 |
1,144 |
$3K |
| 90671 |
|
28 |
27 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
396 |
354 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
32 |
$2K |
| 99383 |
|
30 |
30 |
$2K |
| 87807 |
|
302 |
269 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
31 |
$2K |
| 90656 |
|
195 |
187 |
$2K |
| 90734 |
|
26 |
26 |
$1K |
| 90688 |
|
71 |
64 |
$1K |
| 90649 |
|
14 |
14 |
$992.43 |
| 0001A |
|
33 |
28 |
$815.00 |
| 90715 |
|
51 |
51 |
$762.45 |
| 99401 |
|
30 |
30 |
$584.32 |
| 90670 |
|
26 |
26 |
$551.36 |
| 0002A |
|
16 |
14 |
$435.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
22 |
$253.30 |
| 90700 |
|
51 |
51 |
$238.81 |
| 96160 |
|
386 |
380 |
$155.88 |
| 90713 |
|
13 |
13 |
$103.56 |
| 90658 |
|
45 |
45 |
$83.40 |
| 90648 |
|
40 |
40 |
$77.57 |
| 90633 |
|
26 |
25 |
$59.23 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
88 |
72 |
$3.00 |
| 94760 |
|
39 |
38 |
$1.45 |
| 3210F |
|
8,800 |
8,117 |
$0.00 |
| 2035F |
|
2,402 |
2,132 |
$0.00 |
| 4124F |
|
7,153 |
6,726 |
$0.00 |
| 4131F |
|
1,924 |
1,777 |
$0.00 |
| 99072 |
|
130 |
124 |
$0.00 |
| 3725F |
|
194 |
193 |
$0.00 |
| 3078F |
|
32 |
29 |
$0.00 |
| 2031F |
|
13 |
13 |
$0.00 |
| 1036F |
|
2,374 |
2,195 |
$0.00 |
| 1000F |
|
1,486 |
1,389 |
$0.00 |
| 4134F |
|
2,090 |
1,870 |
$0.00 |
| 4136F |
|
1,814 |
1,681 |
$0.00 |
| 2030F |
|
55 |
54 |
$0.00 |
| 2001F |
|
13 |
13 |
$0.00 |
| 4058F |
|
82 |
79 |
$0.00 |
| 91307 |
|
44 |
38 |
$0.00 |
| 3074F |
|
56 |
53 |
$0.00 |
| 4056F |
|
13 |
13 |
$0.00 |