| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,073 |
40,817 |
$2.86M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43,090 |
34,189 |
$1.20M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,525 |
15,612 |
$924K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,349 |
17,776 |
$832K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,147 |
13,715 |
$755K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,803 |
7,519 |
$436K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,108 |
1,092 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,832 |
5,410 |
$69K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
881 |
816 |
$44K |
| 96112 |
|
831 |
693 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,746 |
5,401 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,602 |
1,192 |
$30K |
| 99051 |
|
1,405 |
1,275 |
$28K |
| 3008F |
|
2,114 |
2,087 |
$18K |
| 99460 |
|
146 |
116 |
$9K |
| 90633 |
|
2,137 |
1,953 |
$5K |
| 96111 |
|
111 |
96 |
$5K |
| 99381 |
|
100 |
74 |
$5K |
| 99177 |
|
858 |
847 |
$4K |
| 92551 |
|
547 |
521 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
208 |
184 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
80 |
70 |
$2K |
| 96127 |
|
485 |
482 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
149 |
99 |
$1K |
| 99173 |
|
598 |
567 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
78 |
$1K |
| 99188 |
|
33 |
25 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
92 |
86 |
$996.92 |
| 31720 |
|
14 |
14 |
$583.63 |
| 90698 |
|
5,143 |
4,812 |
$420.00 |
| 87807 |
|
27 |
26 |
$285.74 |
| 90696 |
|
153 |
148 |
$230.00 |
| 90680 |
|
5,163 |
4,811 |
$160.00 |
| 90686 |
|
8,982 |
8,525 |
$98.09 |
| 81002 |
|
33 |
31 |
$80.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
66 |
64 |
$9.02 |
| A7000 |
Canister, disposable, used with suction pump, each |
14 |
14 |
$7.50 |
| A7002 |
Tubing, used with suction pump, each |
14 |
14 |
$3.75 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
14 |
$1.63 |
| 90670 |
|
8,323 |
7,757 |
$0.00 |
| 90685 |
|
1,601 |
1,376 |
$0.00 |
| 90648 |
|
54 |
52 |
$0.00 |
| 90707 |
|
73 |
68 |
$0.00 |
| 90710 |
|
153 |
147 |
$0.00 |
| 90715 |
|
57 |
55 |
$0.00 |
| 90734 |
|
71 |
66 |
$0.00 |
| 90700 |
|
45 |
43 |
$0.00 |
| 90674 |
|
336 |
334 |
$0.00 |
| 90744 |
|
1,638 |
1,452 |
$0.00 |
| 90656 |
|
1,153 |
1,139 |
$0.00 |
| 90677 |
|
1,811 |
1,753 |
$0.00 |
| 90697 |
|
1,168 |
1,119 |
$0.00 |
| 90651 |
|
114 |
108 |
$0.00 |
| 90716 |
|
107 |
92 |
$0.00 |
| 90619 |
|
54 |
54 |
$0.00 |