| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,473 |
28,348 |
$1.80M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,723 |
6,534 |
$631K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,288 |
7,054 |
$615K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,782 |
16,002 |
$579K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,208 |
4,038 |
$358K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
18,011 |
17,347 |
$319K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,515 |
2,337 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,720 |
1,629 |
$141K |
| 92587 |
|
9,578 |
9,340 |
$133K |
| 99188 |
|
11,714 |
11,361 |
$127K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,580 |
3,421 |
$114K |
| 90461 |
|
1,606 |
1,573 |
$61K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,247 |
3,110 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,270 |
1,217 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,374 |
1,335 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,066 |
3,863 |
$35K |
| 94010 |
|
846 |
799 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,178 |
1,138 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,112 |
2,947 |
$19K |
| 99381 |
|
106 |
98 |
$7K |
| 99401 |
|
1,112 |
1,107 |
$7K |
| 0001A |
|
248 |
234 |
$6K |
| 99383 |
|
61 |
61 |
$6K |
| 96127 |
|
1,294 |
1,290 |
$6K |
| 81002 |
|
2,376 |
2,265 |
$4K |
| 0002A |
|
147 |
146 |
$4K |
| 92567 |
|
344 |
324 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
294 |
273 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
38 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
108 |
108 |
$2K |
| 99070 |
|
132 |
126 |
$798.95 |
| 94760 |
|
391 |
347 |
$474.32 |
| 92551 |
|
47 |
47 |
$320.47 |
| 69210 |
|
40 |
38 |
$290.54 |
| 90620 |
|
381 |
377 |
$268.36 |
| 96161 |
|
332 |
316 |
$266.08 |
| 90686 |
|
6,732 |
6,334 |
$192.37 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
87 |
69 |
$152.94 |
| 90621 |
|
196 |
189 |
$137.49 |
| A7015 |
Aerosol mask, used with dme nebulizer |
113 |
95 |
$125.88 |
| 96160 |
|
126 |
114 |
$119.81 |
| 90744 |
|
657 |
624 |
$22.46 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
107 |
106 |
$8.35 |
| 90677 |
|
733 |
712 |
$0.02 |
| 99173 |
|
9,672 |
9,451 |
$0.00 |
| 90670 |
|
1,161 |
1,101 |
$0.00 |
| 91300 |
|
433 |
404 |
$0.00 |
| 90681 |
|
242 |
228 |
$0.00 |
| 90633 |
|
471 |
458 |
$0.00 |
| 90710 |
|
404 |
393 |
$0.00 |
| 90685 |
|
116 |
108 |
$0.00 |
| 90734 |
|
554 |
534 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90715 |
|
96 |
96 |
$0.00 |
| 90672 |
|
160 |
151 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 97802 |
|
11,979 |
11,488 |
$0.00 |
| 90698 |
|
1,123 |
1,058 |
$0.00 |
| 90619 |
|
504 |
498 |
$0.00 |
| 90651 |
|
1,275 |
1,237 |
$0.00 |
| 90696 |
|
69 |
68 |
$0.00 |
| 90656 |
|
749 |
748 |
$0.00 |
| 90680 |
|
121 |
107 |
$0.00 |
| 99000 |
|
209 |
199 |
$0.00 |
| G0047 |
Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed |
28 |
28 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |