| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,099 |
8,309 |
$899K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,711 |
11,049 |
$826K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,284 |
5,082 |
$261K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,102 |
2,005 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,786 |
1,719 |
$175K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,040 |
3,996 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,201 |
1,182 |
$120K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,461 |
3,168 |
$119K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,385 |
6,834 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
570 |
550 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
923 |
846 |
$35K |
| 87807 |
|
1,528 |
1,430 |
$23K |
| 90671 |
|
263 |
261 |
$20K |
| 81003 |
|
4,097 |
3,938 |
$8K |
| 92551 |
|
1,670 |
1,597 |
$6K |
| 99173 |
|
1,629 |
1,549 |
$6K |
| 99381 |
|
62 |
54 |
$5K |
| 85018 |
|
905 |
872 |
$3K |
| 90674 |
|
130 |
130 |
$2K |
| 87428 |
|
22 |
22 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
61 |
56 |
$1K |
| 90670 |
|
1,209 |
1,156 |
$710.58 |
| 90661 |
|
20 |
20 |
$576.00 |
| 90620 |
|
28 |
26 |
$221.43 |
| 36416 |
|
940 |
901 |
$54.70 |
| 90686 |
|
885 |
852 |
$19.58 |
| 90647 |
|
909 |
889 |
$0.00 |
| 90723 |
|
1,016 |
987 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
19 |
18 |
$0.00 |
| 90651 |
|
36 |
29 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90633 |
|
333 |
307 |
$0.00 |
| 90681 |
|
370 |
359 |
$0.00 |
| 90734 |
|
60 |
56 |
$0.00 |
| 90707 |
|
14 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |