| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,090 |
16,923 |
$690K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,187 |
6,659 |
$424K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,924 |
9,716 |
$324K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
928 |
906 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
596 |
582 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
536 |
530 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,055 |
1,466 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,381 |
2,271 |
$26K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
350 |
336 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
751 |
710 |
$16K |
| 96127 |
|
3,779 |
2,427 |
$13K |
| 99072 |
|
12,807 |
11,651 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
182 |
167 |
$10K |
| 90461 |
|
180 |
176 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
212 |
204 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
86 |
$7K |
| 92552 |
|
218 |
217 |
$3K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
53 |
$816.02 |
| 87634 |
|
15 |
14 |
$720.90 |
| 90688 |
|
2,090 |
2,055 |
$528.73 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
41 |
$486.61 |
| 99188 |
|
12 |
12 |
$183.45 |
| 90670 |
|
279 |
276 |
$145.11 |
| 99177 |
|
32 |
32 |
$113.50 |
| 85018 |
|
52 |
52 |
$105.34 |
| 94760 |
|
645 |
608 |
$101.10 |
| 90680 |
|
67 |
66 |
$75.20 |
| 90698 |
|
279 |
277 |
$70.72 |
| 99000 |
|
2,763 |
2,639 |
$64.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
43 |
41 |
$60.64 |
| 36416 |
|
165 |
163 |
$58.08 |
| 90687 |
|
242 |
237 |
$43.91 |
| 81002 |
|
28 |
27 |
$15.99 |
| 90661 |
|
143 |
142 |
$0.00 |
| 90672 |
|
51 |
49 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |