| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,079 |
1,704 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,866 |
2,436 |
$139K |
| 96127 |
|
1,410 |
1,037 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,448 |
1,197 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
588 |
503 |
$24K |
| 99384 |
|
230 |
152 |
$23K |
| 92551 |
|
1,471 |
1,089 |
$23K |
| 99383 |
|
245 |
150 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
208 |
172 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
579 |
462 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,579 |
584 |
$15K |
| 99173 |
|
1,409 |
1,048 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
121 |
$10K |
| 0001A |
|
255 |
230 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
340 |
308 |
$9K |
| 0002A |
|
198 |
198 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
148 |
121 |
$6K |
| 81002 |
|
2,340 |
1,870 |
$6K |
| 0004A |
|
171 |
123 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
360 |
302 |
$6K |
| 90651 |
|
72 |
64 |
$4K |
| 0071A |
|
65 |
57 |
$3K |
| 90686 |
|
156 |
141 |
$3K |
| 0072A |
|
54 |
54 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
47 |
$1K |
| 0124A |
|
37 |
26 |
$1K |
| 90734 |
|
72 |
63 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
76 |
44 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
347 |
284 |
$497.63 |
| 96160 |
|
99 |
88 |
$290.80 |
| 90620 |
|
15 |
14 |
$250.65 |
| 90715 |
|
15 |
13 |
$250.65 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20 |
16 |
$187.20 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
26 |
20 |
$12.78 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
12 |
$0.56 |
| 94760 |
|
44 |
18 |
$0.00 |