| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,684 |
21,442 |
$874K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,975 |
9,361 |
$555K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,367 |
2,837 |
$194K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,706 |
5,758 |
$119K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,009 |
7,421 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,563 |
1,467 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,574 |
1,428 |
$89K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,409 |
2,577 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,603 |
3,968 |
$64K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,286 |
4,556 |
$45K |
| 87807 |
|
4,520 |
3,445 |
$37K |
| 92551 |
|
4,961 |
4,489 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,967 |
8,612 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
388 |
318 |
$24K |
| 99188 |
|
1,337 |
960 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
808 |
434 |
$10K |
| 99173 |
|
3,574 |
3,057 |
$6K |
| 81003 |
|
2,757 |
2,014 |
$3K |
| 90473 |
|
315 |
287 |
$3K |
| 99177 |
|
3,353 |
2,395 |
$2K |
| 96127 |
|
4,855 |
3,980 |
$2K |
| 0071A |
|
38 |
38 |
$2K |
| 85018 |
|
951 |
720 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
13 |
$1K |
| 0072A |
|
21 |
21 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
112 |
102 |
$965.58 |
| 92567 |
|
112 |
97 |
$866.34 |
| 83655 |
|
130 |
82 |
$781.92 |
| 96161 |
|
474 |
341 |
$706.72 |
| 90686 |
|
3,659 |
3,114 |
$446.81 |
| 99051 |
|
18 |
18 |
$296.30 |
| 92587 |
|
15 |
12 |
$261.47 |
| 96160 |
|
1,208 |
949 |
$233.37 |
| G9919 |
Screening performed and positive and provision of recommendations |
450 |
341 |
$60.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$6.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
55 |
$6.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
25 |
$2.77 |
| 90677 |
|
63 |
53 |
$0.01 |
| 90651 |
|
80 |
68 |
$0.00 |
| 90744 |
|
108 |
100 |
$0.00 |
| 90698 |
|
380 |
345 |
$0.00 |
| 90680 |
|
314 |
290 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
13 |
12 |
$0.00 |
| 90697 |
|
21 |
15 |
$0.00 |
| 91307 |
|
64 |
59 |
$0.00 |
| 90670 |
|
1,006 |
867 |
$0.00 |
| 90671 |
|
79 |
55 |
$0.00 |
| 90633 |
|
192 |
144 |
$0.00 |
| 90685 |
|
149 |
129 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
107 |
93 |
$0.00 |