| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,286 |
1,832 |
$99K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,045 |
924 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
258 |
198 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
217 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
205 |
196 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
174 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
767 |
692 |
$9K |
| 99188 |
|
230 |
183 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
580 |
446 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
120 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
50 |
49 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
33 |
$2K |
| 81002 |
|
432 |
394 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
78 |
70 |
$847.14 |
| 36416 |
|
395 |
363 |
$720.05 |
| 96127 |
|
153 |
145 |
$592.27 |
| 85018 |
|
328 |
302 |
$546.29 |
| 99050 |
|
23 |
16 |
$383.00 |
| 96160 |
|
234 |
224 |
$317.31 |
| 87075 |
|
31 |
31 |
$180.38 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$165.06 |
| 90619 |
|
126 |
118 |
$150.53 |
| 82962 |
|
56 |
54 |
$131.91 |
| 94664 |
|
53 |
49 |
$100.00 |
| 82465 |
|
28 |
27 |
$79.04 |
| 90671 |
|
169 |
144 |
$4.30 |
| 3008F |
|
114 |
112 |
$0.00 |
| 90620 |
|
83 |
78 |
$0.00 |
| 90651 |
|
200 |
194 |
$0.00 |
| 90723 |
|
22 |
16 |
$0.00 |
| 90656 |
|
411 |
392 |
$0.00 |
| 90686 |
|
55 |
47 |
$0.00 |
| 90633 |
|
85 |
65 |
$0.00 |
| 90710 |
|
127 |
93 |
$0.00 |
| 90713 |
|
163 |
135 |
$0.00 |
| 90648 |
|
169 |
147 |
$0.00 |
| 90715 |
|
31 |
29 |
$0.00 |
| 90700 |
|
191 |
161 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |