| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,123 |
6,392 |
$419K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,354 |
3,157 |
$285K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,831 |
2,716 |
$221K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,314 |
2,116 |
$167K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,278 |
2,018 |
$164K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,487 |
1,328 |
$113K |
| 90671 |
|
532 |
504 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,109 |
3,830 |
$35K |
| 90670 |
|
1,239 |
1,142 |
$28K |
| 90651 |
|
630 |
589 |
$21K |
| 90680 |
|
1,033 |
937 |
$20K |
| 90698 |
|
816 |
755 |
$15K |
| 99199 |
Unlisted special service, procedure or report |
5,808 |
5,806 |
$15K |
| 90716 |
|
648 |
606 |
$13K |
| 90688 |
|
1,130 |
1,078 |
$13K |
| 99188 |
|
569 |
549 |
$12K |
| 90674 |
|
512 |
461 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
308 |
278 |
$11K |
| 90707 |
|
662 |
612 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
854 |
351 |
$10K |
| 90619 |
|
234 |
199 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
722 |
694 |
$10K |
| 81002 |
|
3,766 |
3,316 |
$10K |
| 90633 |
|
721 |
686 |
$9K |
| 99173 |
|
3,722 |
3,368 |
$7K |
| 90687 |
|
424 |
407 |
$5K |
| 90734 |
|
177 |
168 |
$4K |
| 96160 |
|
1,744 |
1,533 |
$3K |
| 92587 |
|
281 |
264 |
$3K |
| 90677 |
|
33 |
25 |
$3K |
| 96127 |
|
570 |
542 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
163 |
153 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
329 |
301 |
$3K |
| 90697 |
|
61 |
59 |
$3K |
| 90685 |
|
231 |
216 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
53 |
$2K |
| 90686 |
|
190 |
168 |
$2K |
| 90648 |
|
180 |
176 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
72 |
68 |
$2K |
| 0072A |
|
37 |
35 |
$1K |
| 0071A |
|
28 |
26 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
66 |
64 |
$1K |
| 99174 |
|
182 |
180 |
$894.35 |
| 90715 |
|
58 |
55 |
$768.84 |
| 99381 |
|
18 |
14 |
$757.26 |
| 85018 |
|
221 |
214 |
$549.01 |
| 90744 |
|
45 |
40 |
$546.47 |
| 90700 |
|
41 |
40 |
$537.90 |
| 0051A |
|
16 |
13 |
$463.30 |
| 0052A |
|
13 |
13 |
$463.30 |
| 90696 |
|
26 |
25 |
$348.40 |
| 83655 |
|
14 |
14 |
$189.62 |
| 90661 |
|
20 |
20 |
$178.00 |
| 99000 |
|
113 |
108 |
$148.12 |
| 36416 |
|
184 |
175 |
$137.94 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
105 |
100 |
$80.27 |
| 96161 |
|
36 |
30 |
$67.52 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
519 |
476 |
$41.69 |
| 90461 |
|
32 |
32 |
$13.08 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
65 |
63 |
$2.60 |
| 91307 |
|
102 |
87 |
$0.00 |
| 91305 |
|
35 |
30 |
$0.00 |
| 91308 |
|
14 |
14 |
$0.00 |