| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,234 |
5,073 |
$423K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,841 |
3,411 |
$329K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,287 |
1,274 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
483 |
459 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
558 |
533 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,359 |
2,267 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,154 |
2,011 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,813 |
1,692 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,337 |
990 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
391 |
361 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,138 |
1,112 |
$13K |
| 92551 |
|
824 |
787 |
$8K |
| 92558 |
|
943 |
925 |
$7K |
| 99401 |
|
803 |
799 |
$5K |
| 96127 |
|
963 |
887 |
$4K |
| 90461 |
|
330 |
310 |
$3K |
| 99173 |
|
1,213 |
1,098 |
$2K |
| 92567 |
|
140 |
132 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
58 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
36 |
$1K |
| 96161 |
|
451 |
427 |
$943.18 |
| 90688 |
|
632 |
617 |
$893.79 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$768.96 |
| 90686 |
|
55 |
55 |
$602.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
36 |
$471.55 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
24 |
$344.28 |
| 96160 |
|
217 |
192 |
$285.96 |
| 90670 |
|
160 |
157 |
$241.38 |
| 99177 |
|
121 |
121 |
$196.41 |
| 94664 |
|
13 |
12 |
$177.21 |
| 90474 |
|
15 |
13 |
$151.34 |
| 90633 |
|
30 |
25 |
$145.58 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$118.48 |
| 99000 |
|
2,485 |
2,191 |
$102.44 |
| 90698 |
|
54 |
53 |
$92.70 |
| 90680 |
|
41 |
40 |
$88.64 |
| 81002 |
|
69 |
67 |
$37.67 |
| 99072 |
|
7,691 |
5,640 |
$24.60 |
| 97802 |
|
18 |
17 |
$22.50 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$21.92 |
| 83655 |
|
22 |
15 |
$14.54 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
21 |
12 |
$8.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90671 |
|
48 |
46 |
$0.00 |
| 90661 |
|
48 |
48 |
$0.00 |