| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,335 |
26,859 |
$1.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,216 |
14,283 |
$987K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,357 |
11,781 |
$454K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,353 |
6,101 |
$379K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,750 |
6,189 |
$359K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,671 |
4,561 |
$272K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,727 |
7,337 |
$198K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,917 |
2,825 |
$188K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,610 |
2,492 |
$106K |
| 90670 |
|
4,075 |
3,898 |
$104K |
| 92552 |
|
6,056 |
5,920 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,029 |
5,635 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,492 |
2,176 |
$55K |
| 90698 |
|
3,557 |
3,373 |
$39K |
| 90633 |
|
2,048 |
1,958 |
$29K |
| 99177 |
|
2,121 |
2,041 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,220 |
1,141 |
$10K |
| 90734 |
|
543 |
532 |
$9K |
| 90651 |
|
482 |
463 |
$8K |
| 99215 |
Prolong outpt/office vis |
89 |
81 |
$8K |
| 90710 |
|
263 |
251 |
$7K |
| 90686 |
|
1,162 |
1,139 |
$5K |
| 90716 |
|
231 |
225 |
$5K |
| 99051 |
|
217 |
201 |
$5K |
| 90680 |
|
2,689 |
2,557 |
$4K |
| 99381 |
|
60 |
57 |
$4K |
| 90744 |
|
1,652 |
1,582 |
$3K |
| 90707 |
|
239 |
232 |
$3K |
| 81002 |
|
842 |
796 |
$2K |
| 90621 |
|
141 |
133 |
$2K |
| 90715 |
|
300 |
281 |
$895.93 |
| 96127 |
|
133 |
84 |
$611.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
39 |
$471.16 |
| 90672 |
|
67 |
67 |
$378.69 |
| 90619 |
|
224 |
201 |
$316.12 |
| 90696 |
|
208 |
198 |
$304.94 |
| 90674 |
|
116 |
103 |
$175.42 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
56 |
52 |
$102.10 |
| 90685 |
|
54 |
53 |
$99.00 |
| 90648 |
|
90 |
89 |
$80.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
28 |
25 |
$0.64 |
| 91307 |
|
13 |
13 |
$0.10 |
| 90677 |
|
89 |
74 |
$0.00 |
| 90697 |
|
89 |
79 |
$0.00 |