| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,457 |
8,749 |
$678K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,556 |
1,520 |
$152K |
| 99401 |
|
5,959 |
5,655 |
$138K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,357 |
1,306 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,215 |
1,174 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,148 |
1,054 |
$98K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,212 |
2,074 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
777 |
682 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,487 |
1,418 |
$58K |
| 99058 |
|
3,015 |
2,717 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,607 |
1,524 |
$33K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,404 |
1,293 |
$28K |
| 92551 |
|
3,542 |
3,412 |
$22K |
| 99383 |
|
85 |
81 |
$9K |
| 94760 |
|
2,938 |
2,341 |
$7K |
| 96127 |
|
1,273 |
1,209 |
$7K |
| 99381 |
|
49 |
40 |
$4K |
| 94664 |
|
276 |
262 |
$4K |
| 97802 |
|
3,972 |
3,775 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
141 |
113 |
$2K |
| 96161 |
|
1,035 |
960 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
60 |
55 |
$1K |
| 99408 |
|
279 |
261 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
29 |
28 |
$625.89 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
130 |
116 |
$518.32 |
| 90686 |
|
438 |
412 |
$512.33 |
| 99173 |
|
3,562 |
3,425 |
$502.07 |
| 90670 |
|
985 |
927 |
$472.07 |
| 90698 |
|
269 |
253 |
$463.57 |
| 90651 |
|
220 |
217 |
$452.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
27 |
$236.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
118 |
105 |
$151.95 |
| 90696 |
|
32 |
29 |
$143.16 |
| 90633 |
|
263 |
254 |
$143.16 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
83 |
67 |
$10.79 |
| 90647 |
|
205 |
185 |
$0.00 |
| 90688 |
|
413 |
399 |
$0.00 |
| 90723 |
|
57 |
50 |
$0.00 |
| 90744 |
|
83 |
79 |
$0.00 |
| 90716 |
|
26 |
24 |
$0.00 |
| 90681 |
|
159 |
143 |
$0.00 |
| 90734 |
|
251 |
244 |
$0.00 |
| 90715 |
|
17 |
17 |
$0.00 |
| 90710 |
|
49 |
44 |
$0.00 |
| 90700 |
|
58 |
57 |
$0.00 |
| 90687 |
|
32 |
29 |
$0.00 |