| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,533 |
33,105 |
$2.91M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,064 |
18,994 |
$2.53M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,225 |
6,928 |
$791K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,981 |
6,438 |
$778K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,201 |
5,113 |
$547K |
| 99401 |
|
3,639 |
3,242 |
$520K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,172 |
3,257 |
$436K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14,325 |
10,061 |
$344K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,716 |
18,711 |
$327K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36,330 |
13,805 |
$201K |
| 92552 |
|
20,561 |
15,057 |
$179K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,405 |
3,246 |
$133K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,964 |
15,240 |
$104K |
| 90671 |
|
134 |
134 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,491 |
2,008 |
$31K |
| 81003 |
|
16,907 |
12,416 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,974 |
3,102 |
$9K |
| 92567 |
|
1,715 |
1,227 |
$8K |
| 96127 |
|
12,160 |
5,700 |
$7K |
| 90686 |
|
10,413 |
8,790 |
$7K |
| 90648 |
|
3,069 |
2,372 |
$6K |
| 0071A |
|
123 |
117 |
$5K |
| 90716 |
|
915 |
635 |
$5K |
| 91300 |
|
605 |
244 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,529 |
1,092 |
$4K |
| A4208 |
Syringe with needle, sterile 3 cc, each |
5,435 |
4,522 |
$4K |
| 0072A |
|
118 |
115 |
$4K |
| 91307 |
|
577 |
343 |
$3K |
| 90633 |
|
1,155 |
850 |
$3K |
| 99051 |
|
1,430 |
1,074 |
$3K |
| 96160 |
|
6,494 |
4,487 |
$3K |
| 99381 |
|
12 |
12 |
$2K |
| 0001A |
|
86 |
86 |
$2K |
| 90670 |
|
2,895 |
2,104 |
$2K |
| 99173 |
|
21,000 |
14,729 |
$913.42 |
| 90651 |
|
1,383 |
964 |
$818.04 |
| 83655 |
|
294 |
173 |
$765.47 |
| 0003A |
|
188 |
46 |
$720.00 |
| 81002 |
|
2,258 |
1,786 |
$522.86 |
| 90656 |
|
822 |
817 |
$500.14 |
| 96161 |
|
1,484 |
1,063 |
$405.96 |
| 0073A |
|
77 |
16 |
$360.00 |
| 90696 |
|
79 |
54 |
$353.20 |
| 90707 |
|
876 |
642 |
$329.96 |
| 0002A |
|
18 |
18 |
$308.70 |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,013 |
715 |
$254.92 |
| 90680 |
|
1,453 |
1,137 |
$248.45 |
| 99070 |
|
1,349 |
1,308 |
$226.40 |
| 87807 |
|
16 |
15 |
$205.83 |
| 90685 |
|
123 |
94 |
$158.73 |
| 90461 |
|
2,572 |
2,000 |
$156.00 |
| 90734 |
|
1,284 |
817 |
$22.52 |
| 90723 |
|
1,634 |
1,269 |
$0.00 |
| 36416 |
|
222 |
117 |
$0.00 |
| 99000 |
|
2,660 |
2,467 |
$0.00 |
| 90620 |
|
464 |
349 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
352 |
304 |
$0.00 |
| 90677 |
|
148 |
147 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
92 |
84 |
$0.00 |
| 90700 |
|
40 |
38 |
$0.00 |
| 90715 |
|
112 |
106 |
$0.00 |
| 94060 |
|
12 |
12 |
$0.00 |