| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,448 |
2,370 |
$169K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,163 |
3,110 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,278 |
1,222 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,199 |
1,080 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
702 |
698 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
337 |
337 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,303 |
1,274 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
143 |
143 |
$16K |
| 90461 |
|
1,253 |
1,231 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
181 |
176 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
141 |
$5K |
| 92551 |
|
787 |
781 |
$3K |
| 90473 |
|
158 |
156 |
$3K |
| 99188 |
|
239 |
235 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
349 |
347 |
$3K |
| 92587 |
|
396 |
392 |
$2K |
| 94760 |
|
1,291 |
1,242 |
$2K |
| 90685 |
|
194 |
184 |
$2K |
| 36416 |
|
428 |
419 |
$2K |
| 93000 |
|
57 |
57 |
$973.69 |
| 96127 |
|
193 |
191 |
$891.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
30 |
$532.80 |
| 90680 |
|
242 |
242 |
$442.57 |
| 96161 |
|
126 |
124 |
$364.01 |
| 90686 |
|
1,799 |
1,772 |
$307.61 |
| 90698 |
|
351 |
348 |
$284.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$203.81 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
44 |
44 |
$27.17 |
| 99000 |
|
818 |
806 |
$12.30 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$8.45 |
| 90670 |
|
638 |
628 |
$0.00 |
| 99173 |
|
814 |
809 |
$0.00 |
| 90672 |
|
488 |
475 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90633 |
|
100 |
98 |
$0.00 |
| 90734 |
|
32 |
32 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90744 |
|
205 |
201 |
$0.00 |
| 90660 |
|
84 |
84 |
$0.00 |
| 90656 |
|
111 |
111 |
$0.00 |
| 90651 |
|
96 |
96 |
$0.00 |
| 90619 |
|
17 |
17 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| A4258 |
Spring-powered device for lancet, each |
12 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |