| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,856 |
7,690 |
$440K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,341 |
2,275 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,445 |
2,260 |
$181K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,489 |
1,411 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,341 |
1,276 |
$113K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,508 |
1,405 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
561 |
552 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,831 |
4,209 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,177 |
2,048 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,990 |
994 |
$12K |
| 87428 |
|
630 |
610 |
$11K |
| 90461 |
|
2,818 |
2,323 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 81002 |
|
2,805 |
2,672 |
$2K |
| 85018 |
|
4,073 |
3,933 |
$2K |
| 87807 |
|
599 |
574 |
$2K |
| 90686 |
|
722 |
708 |
$1K |
| 90633 |
|
666 |
646 |
$1K |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,447 |
2,366 |
$1K |
| 83655 |
|
337 |
328 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
3,481 |
3,284 |
$869.95 |
| 90670 |
|
1,129 |
1,098 |
$594.71 |
| 90647 |
|
905 |
878 |
$487.97 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
83 |
76 |
$450.77 |
| 99174 |
|
1,366 |
1,291 |
$346.57 |
| 90651 |
|
65 |
63 |
$206.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
27 |
$190.00 |
| 99188 |
|
25 |
25 |
$121.50 |
| 90681 |
|
164 |
158 |
$85.00 |
| 90723 |
|
862 |
816 |
$70.00 |
| 90696 |
|
15 |
15 |
$60.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
62 |
53 |
$51.41 |
| 90734 |
|
176 |
166 |
$30.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$12.21 |
| 90710 |
|
39 |
39 |
$0.00 |
| 90700 |
|
31 |
24 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90715 |
|
20 |
12 |
$0.00 |
| 90677 |
|
247 |
215 |
$0.00 |
| 94760 |
|
28 |
24 |
$0.00 |