| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,598 |
5,534 |
$598K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,005 |
4,356 |
$305K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,623 |
2,475 |
$225K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,041 |
2,502 |
$220K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,384 |
4,367 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,057 |
1,011 |
$90K |
| 99188 |
|
2,119 |
1,893 |
$22K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
85 |
27 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
826 |
767 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
225 |
214 |
$20K |
| 90461 |
|
728 |
663 |
$18K |
| 99381 |
|
192 |
151 |
$13K |
| 99174 |
|
1,852 |
1,634 |
$12K |
| 99383 |
|
130 |
111 |
$11K |
| 99382 |
|
63 |
56 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
576 |
538 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
407 |
389 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
243 |
233 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
71 |
$978.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
69 |
60 |
$786.71 |
| 92551 |
|
184 |
173 |
$785.67 |
| 90744 |
|
805 |
750 |
$574.15 |
| 87807 |
|
104 |
97 |
$438.34 |
| 90710 |
|
335 |
323 |
$208.96 |
| 85018 |
|
98 |
91 |
$138.27 |
| 36416 |
|
45 |
30 |
$114.26 |
| 90633 |
|
694 |
669 |
$73.16 |
| 90713 |
|
20 |
17 |
$65.30 |
| 94760 |
|
56 |
48 |
$26.97 |
| 84030 |
|
30 |
27 |
$23.03 |
| 90686 |
|
542 |
494 |
$16.53 |
| A7015 |
Aerosol mask, used with dme nebulizer |
54 |
46 |
$15.07 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
80 |
70 |
$14.43 |
| 90651 |
|
61 |
52 |
$2.00 |
| 90670 |
|
1,469 |
1,378 |
$0.00 |
| 99173 |
|
1,124 |
1,036 |
$0.00 |
| 90685 |
|
83 |
80 |
$0.00 |
| 90648 |
|
68 |
62 |
$0.00 |
| 90700 |
|
119 |
110 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90698 |
|
1,088 |
1,023 |
$0.00 |
| 99000 |
|
1,310 |
1,205 |
$0.00 |
| 90680 |
|
833 |
771 |
$0.00 |
| 90696 |
|
38 |
36 |
$0.00 |
| 90688 |
|
19 |
17 |
$0.00 |