| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,596 |
12,827 |
$863K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,753 |
3,922 |
$363K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,330 |
3,961 |
$361K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,090 |
8,366 |
$344K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,377 |
3,124 |
$281K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,318 |
2,161 |
$212K |
| 92587 |
|
4,788 |
4,440 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,669 |
3,288 |
$57K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,871 |
1,636 |
$57K |
| 99401 |
|
2,166 |
2,009 |
$57K |
| 99188 |
|
4,993 |
4,638 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,574 |
4,126 |
$43K |
| 92015 |
Determination of refractive state |
713 |
674 |
$21K |
| 92567 |
|
1,285 |
1,147 |
$13K |
| 94664 |
|
786 |
733 |
$10K |
| 94667 |
|
500 |
413 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
501 |
414 |
$6K |
| 96127 |
|
1,196 |
1,086 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
205 |
170 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
605 |
550 |
$4K |
| 99383 |
|
28 |
25 |
$3K |
| 99460 |
|
54 |
42 |
$3K |
| 94760 |
|
1,324 |
1,130 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
34 |
29 |
$1K |
| 87807 |
|
162 |
151 |
$1K |
| 99381 |
|
13 |
12 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
496 |
410 |
$984.54 |
| A7015 |
Aerosol mask, used with dme nebulizer |
497 |
411 |
$644.38 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
522 |
424 |
$418.44 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
26 |
$385.56 |
| 36416 |
|
140 |
116 |
$368.41 |
| 84030 |
|
125 |
103 |
$273.87 |
| 90461 |
|
15 |
15 |
$251.42 |
| 90620 |
|
22 |
17 |
$250.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
16 |
13 |
$73.44 |
| 81002 |
|
15 |
15 |
$44.70 |
| 97802 |
|
2,325 |
2,113 |
$30.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
38 |
30 |
$0.99 |
| 90680 |
|
1,444 |
1,353 |
$0.00 |
| 99174 |
|
2,425 |
2,245 |
$0.00 |
| 90723 |
|
167 |
162 |
$0.00 |
| 90698 |
|
1,050 |
969 |
$0.00 |
| 90647 |
|
532 |
481 |
$0.00 |
| 90651 |
|
469 |
435 |
$0.00 |
| 99000 |
|
285 |
241 |
$0.00 |
| 90688 |
|
760 |
715 |
$0.00 |
| 90744 |
|
341 |
294 |
$0.00 |
| 90696 |
|
135 |
115 |
$0.00 |
| 90716 |
|
291 |
268 |
$0.00 |
| 90619 |
|
76 |
75 |
$0.00 |
| 90670 |
|
1,744 |
1,639 |
$0.00 |
| 90734 |
|
389 |
353 |
$0.00 |
| 90671 |
|
895 |
813 |
$0.00 |
| 90710 |
|
254 |
225 |
$0.00 |
| 90700 |
|
121 |
100 |
$0.00 |
| 90633 |
|
1,114 |
1,023 |
$0.00 |
| 90687 |
|
204 |
188 |
$0.00 |
| 90707 |
|
223 |
202 |
$0.00 |
| 90715 |
|
161 |
143 |
$0.00 |
| 97803 |
|
14 |
13 |
$0.00 |