| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,798 |
6,394 |
$317K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,111 |
1,928 |
$127K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,261 |
3,078 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,889 |
1,804 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,305 |
1,215 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
926 |
905 |
$51K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,222 |
1,098 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,428 |
1,035 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,700 |
1,523 |
$19K |
| 99177 |
|
1,774 |
1,673 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
199 |
$12K |
| 92551 |
|
1,749 |
1,685 |
$10K |
| 90633 |
|
517 |
497 |
$4K |
| 83655 |
|
419 |
399 |
$4K |
| 99173 |
|
1,469 |
1,434 |
$3K |
| 90670 |
|
1,109 |
1,055 |
$3K |
| 87807 |
|
323 |
302 |
$3K |
| 90686 |
|
871 |
840 |
$2K |
| 90698 |
|
1,119 |
1,064 |
$2K |
| 36416 |
|
534 |
507 |
$2K |
| 96161 |
|
590 |
538 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
210 |
197 |
$1K |
| 85018 |
|
396 |
376 |
$739.22 |
| 99381 |
|
14 |
13 |
$717.75 |
| 90680 |
|
535 |
502 |
$433.57 |
| 90744 |
|
345 |
322 |
$369.72 |
| 99188 |
|
112 |
105 |
$283.80 |
| 96127 |
|
61 |
57 |
$198.80 |
| 81002 |
|
61 |
49 |
$135.21 |
| 90461 |
|
963 |
924 |
$123.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$112.14 |
| 90716 |
|
64 |
63 |
$50.00 |
| 90707 |
|
65 |
64 |
$50.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
32 |
$30.55 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
14 |
12 |
$21.00 |
| 90710 |
|
75 |
71 |
$10.19 |
| 90696 |
|
75 |
71 |
$10.16 |
| 90734 |
|
42 |
39 |
$0.17 |
| 90651 |
|
37 |
35 |
$0.16 |
| 90715 |
|
28 |
26 |
$0.11 |
| 90688 |
|
36 |
35 |
$0.02 |