| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,359 |
10,855 |
$449K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,160 |
3,970 |
$336K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,019 |
4,641 |
$262K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,490 |
3,134 |
$256K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,784 |
10,384 |
$223K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,536 |
2,423 |
$222K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,303 |
4,073 |
$185K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,755 |
1,636 |
$164K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,017 |
1,824 |
$53K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,228 |
2,979 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,358 |
2,047 |
$25K |
| 92551 |
|
7,038 |
6,640 |
$19K |
| 90461 |
|
4,102 |
3,534 |
$17K |
| 90661 |
|
583 |
583 |
$13K |
| 99000 |
|
813 |
776 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,133 |
1,002 |
$8K |
| 99381 |
|
124 |
119 |
$7K |
| 0071A |
|
136 |
133 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
332 |
315 |
$4K |
| 0072A |
|
116 |
115 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
278 |
255 |
$4K |
| 87807 |
|
244 |
222 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
105 |
$2K |
| 81000 |
|
453 |
427 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
59 |
$1K |
| 96160 |
|
1,254 |
1,167 |
$1K |
| 81002 |
|
375 |
345 |
$1K |
| 0002A |
|
14 |
14 |
$560.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
264 |
256 |
$303.60 |
| 94760 |
|
365 |
318 |
$224.26 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
264 |
255 |
$91.08 |
| 90686 |
|
4,348 |
4,188 |
$60.22 |
| 99072 |
|
17 |
15 |
$37.50 |
| A7015 |
Aerosol mask, used with dme nebulizer |
263 |
255 |
$28.78 |
| 90688 |
|
17 |
16 |
$16.80 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,331 |
2,320 |
$1.82 |
| 90677 |
|
468 |
427 |
$1.03 |
| 91307 |
|
315 |
303 |
$0.22 |
| 90697 |
|
77 |
64 |
$0.12 |
| 90670 |
|
1,695 |
1,660 |
$0.12 |
| 90651 |
|
137 |
127 |
$0.07 |
| 90698 |
|
1,392 |
1,363 |
$0.06 |
| 90619 |
|
69 |
69 |
$0.03 |
| 90744 |
|
227 |
219 |
$0.01 |
| G9459 |
Currently a tobacco non-user |
1,646 |
1,623 |
$0.00 |
| 1031F |
|
13,751 |
12,875 |
$0.00 |
| 90680 |
|
1,101 |
1,060 |
$0.00 |
| 90696 |
|
44 |
44 |
$0.00 |
| 96127 |
|
841 |
813 |
$0.00 |
| 90716 |
|
89 |
87 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 3725F |
|
1,881 |
1,852 |
$0.00 |
| 3210F |
|
192 |
184 |
$0.00 |
| 90633 |
|
878 |
848 |
$0.00 |
| 99173 |
|
5,671 |
5,531 |
$0.00 |
| 90710 |
|
139 |
138 |
$0.00 |
| 90707 |
|
71 |
70 |
$0.00 |
| 91300 |
|
51 |
43 |
$0.00 |
| 90734 |
|
49 |
48 |
$0.00 |