| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,825 |
6,578 |
$412K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,297 |
6,033 |
$273K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,592 |
3,206 |
$157K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
5,458 |
4,429 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,180 |
1,166 |
$106K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,505 |
3,446 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,107 |
1,091 |
$91K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,449 |
5,964 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,110 |
3,194 |
$63K |
| 94060 |
|
1,514 |
1,499 |
$59K |
| 94010 |
|
3,075 |
3,035 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
625 |
617 |
$49K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
5,456 |
4,424 |
$28K |
| 90461 |
|
4,673 |
2,111 |
$18K |
| 99429 |
|
529 |
523 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,608 |
1,071 |
$16K |
| 94375 |
|
1,386 |
1,361 |
$12K |
| 86580 |
|
1,495 |
1,480 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
141 |
136 |
$11K |
| 87807 |
|
858 |
805 |
$10K |
| 92567 |
|
726 |
672 |
$9K |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
5,443 |
4,411 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
115 |
109 |
$6K |
| 99215 |
Prolong outpt/office vis |
18 |
17 |
$1K |
| 96160 |
|
722 |
708 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$736.20 |
| 92015 |
Determination of refractive state |
40 |
40 |
$651.20 |
| 92587 |
|
28 |
27 |
$462.24 |
| 90670 |
|
91 |
90 |
$87.50 |
| 90700 |
|
180 |
179 |
$52.50 |
| 90734 |
|
44 |
42 |
$0.00 |
| 90621 |
|
25 |
25 |
$0.00 |
| 90713 |
|
95 |
95 |
$0.00 |
| 97803 |
|
333 |
330 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90661 |
|
268 |
268 |
$0.00 |
| 90648 |
|
82 |
81 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |
| 90686 |
|
1,405 |
1,392 |
$0.00 |
| 90651 |
|
62 |
60 |
$0.00 |
| 90674 |
|
358 |
350 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
331 |
328 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |