| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,508 |
6,784 |
$809K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,276 |
3,146 |
$254K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,535 |
1,535 |
$141K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,188 |
1,187 |
$103K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,343 |
4,322 |
$79K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,205 |
2,202 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,732 |
5,902 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
237 |
237 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
531 |
525 |
$20K |
| 92551 |
|
2,090 |
2,083 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
670 |
659 |
$10K |
| 99188 |
|
885 |
885 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
182 |
173 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
513 |
490 |
$7K |
| 90474 |
|
393 |
393 |
$7K |
| 96127 |
|
812 |
804 |
$3K |
| 99173 |
|
664 |
664 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
228 |
215 |
$2K |
| 99460 |
|
16 |
16 |
$1K |
| 87807 |
|
115 |
112 |
$1K |
| 96161 |
|
231 |
229 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$1K |
| 92567 |
|
45 |
41 |
$655.20 |
| 83655 |
|
52 |
52 |
$549.27 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$378.69 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
26 |
$278.18 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$131.46 |
| 99051 |
|
14 |
14 |
$94.50 |
| 82977 |
|
14 |
14 |
$83.20 |
| 82150 |
|
14 |
14 |
$74.88 |
| 84550 |
|
14 |
14 |
$52.26 |
| 90686 |
|
890 |
890 |
$20.15 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
28 |
25 |
$1.25 |
| 90656 |
|
167 |
167 |
$0.13 |
| 90670 |
|
801 |
801 |
$0.01 |
| 90633 |
|
187 |
187 |
$0.01 |
| 90744 |
|
183 |
183 |
$0.00 |
| 90677 |
|
84 |
84 |
$0.00 |
| 90680 |
|
441 |
441 |
$0.00 |
| 90698 |
|
539 |
539 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 96160 |
|
893 |
886 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 99072 |
|
14 |
13 |
$0.00 |