| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,784 |
1,329 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,141 |
1,612 |
$166K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
641 |
538 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
534 |
442 |
$44K |
| 90677 |
|
379 |
321 |
$28K |
| 99383 |
|
210 |
179 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
153 |
$17K |
| 92552 |
|
807 |
703 |
$17K |
| 99384 |
|
126 |
114 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
71 |
$12K |
| 99215 |
Prolong outpt/office vis |
68 |
54 |
$11K |
| 90697 |
|
320 |
275 |
$11K |
| 99381 |
|
132 |
96 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
966 |
817 |
$8K |
| 99382 |
|
78 |
64 |
$8K |
| 90680 |
|
274 |
233 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
39 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
30 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
52 |
$3K |
| 90619 |
|
52 |
41 |
$3K |
| 96127 |
|
330 |
284 |
$2K |
| 90633 |
|
114 |
91 |
$2K |
| 99173 |
|
794 |
691 |
$2K |
| 96161 |
|
598 |
464 |
$1K |
| 87807 |
|
120 |
108 |
$984.31 |
| 90621 |
|
40 |
29 |
$882.69 |
| 90651 |
|
45 |
40 |
$861.36 |
| 90710 |
|
42 |
32 |
$744.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
81 |
$726.41 |
| 99080 |
|
248 |
212 |
$560.00 |
| 94664 |
|
29 |
28 |
$336.00 |
| 90686 |
|
17 |
15 |
$325.80 |
| 36415 |
Collection of venous blood by venipuncture |
155 |
132 |
$310.39 |
| 90700 |
|
15 |
13 |
$302.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
920 |
767 |
$139.68 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$125.59 |
| 99051 |
|
54 |
48 |
$110.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
14 |
14 |
$84.54 |
| A7015 |
Aerosol mask, used with dme nebulizer |
14 |
14 |
$8.57 |
| 36416 |
|
46 |
39 |
$6.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
16 |
$0.64 |
| 90461 |
|
604 |
511 |
$0.00 |