| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,565 |
12,733 |
$965K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,774 |
3,613 |
$400K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,206 |
3,008 |
$295K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,139 |
4,987 |
$284K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,495 |
2,417 |
$231K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,379 |
1,364 |
$143K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,456 |
2,649 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
585 |
578 |
$67K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,615 |
1,551 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,456 |
4,361 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,991 |
1,940 |
$31K |
| 87807 |
|
1,038 |
986 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,634 |
1,583 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
298 |
286 |
$12K |
| 81003 |
|
2,899 |
2,850 |
$7K |
| 92552 |
|
2,295 |
2,258 |
$6K |
| 99173 |
|
2,346 |
2,310 |
$5K |
| 36416 |
|
4,741 |
4,636 |
$4K |
| 97802 |
|
3,307 |
3,265 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
187 |
181 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,144 |
3,101 |
$3K |
| 99050 |
|
252 |
247 |
$3K |
| 99460 |
|
27 |
26 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
27 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90671 |
|
63 |
62 |
$1K |
| 90677 |
|
268 |
264 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
32 |
15 |
$484.30 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
245 |
238 |
$345.60 |
| 90670 |
|
1,812 |
1,760 |
$290.33 |
| 90696 |
|
51 |
50 |
$150.00 |
| 90672 |
|
24 |
19 |
$113.76 |
| 90698 |
|
1,743 |
1,704 |
$0.00 |
| 90680 |
|
1,214 |
1,194 |
$0.00 |
| 90651 |
|
213 |
208 |
$0.00 |
| 90744 |
|
971 |
949 |
$0.00 |
| 90686 |
|
253 |
245 |
$0.00 |
| 90716 |
|
17 |
17 |
$0.00 |
| 90633 |
|
901 |
873 |
$0.00 |
| 90710 |
|
571 |
561 |
$0.00 |
| 90734 |
|
77 |
74 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |
| 90700 |
|
57 |
57 |
$0.00 |
| 90685 |
|
53 |
51 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |