| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,496 |
22,421 |
$929K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,980 |
3,847 |
$331K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,354 |
3,259 |
$265K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,389 |
2,280 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,042 |
3,730 |
$203K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,972 |
1,898 |
$151K |
| 99051 |
|
3,514 |
3,364 |
$119K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,355 |
3,251 |
$115K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,699 |
3,269 |
$75K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,029 |
5,715 |
$54K |
| 92551 |
|
7,036 |
6,781 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,125 |
1,081 |
$40K |
| 87081 |
|
4,816 |
4,613 |
$24K |
| 99173 |
|
6,015 |
5,843 |
$24K |
| 87634 |
|
287 |
268 |
$19K |
| 90686 |
|
2,237 |
2,173 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
303 |
299 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
376 |
362 |
$8K |
| 87428 |
|
241 |
233 |
$7K |
| 90648 |
|
2,143 |
2,057 |
$6K |
| 99188 |
|
439 |
433 |
$6K |
| 90670 |
|
1,541 |
1,500 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
462 |
294 |
$5K |
| 92015 |
Determination of refractive state |
939 |
932 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
266 |
240 |
$4K |
| 90723 |
|
1,078 |
1,038 |
$4K |
| 90680 |
|
1,377 |
1,343 |
$4K |
| 90633 |
|
1,178 |
1,123 |
$3K |
| 90710 |
|
1,172 |
1,134 |
$3K |
| 96127 |
|
2,982 |
2,511 |
$3K |
| 80061 |
Lipid panel |
1,406 |
1,288 |
$3K |
| 87807 |
|
160 |
157 |
$2K |
| 96160 |
|
2,722 |
2,560 |
$2K |
| 94760 |
|
9,087 |
8,262 |
$2K |
| 90734 |
|
737 |
685 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,979 |
2,133 |
$1K |
| 90715 |
|
821 |
717 |
$1K |
| 81003 |
|
387 |
370 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$1K |
| 90696 |
|
378 |
366 |
$880.00 |
| 83655 |
|
4,751 |
4,488 |
$552.71 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
43 |
$462.32 |
| 90651 |
|
404 |
383 |
$370.00 |
| 85018 |
|
999 |
944 |
$341.46 |
| 90620 |
|
212 |
189 |
$253.84 |
| 90700 |
|
180 |
177 |
$231.00 |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
64 |
58 |
$207.12 |
| 96161 |
|
1,436 |
1,382 |
$194.32 |
| 90461 |
|
29 |
27 |
$183.74 |
| 92567 |
|
12 |
12 |
$118.32 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
74 |
73 |
$3.12 |
| 36416 |
|
1,007 |
889 |
$2.73 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
56 |
41 |
$0.32 |
| 3078F |
|
4,704 |
4,455 |
$0.00 |
| 90672 |
|
14 |
14 |
$0.00 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
13 |
12 |
$0.00 |
| 3074F |
|
4,808 |
4,546 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
632 |
502 |
$0.00 |
| 85013 |
|
200 |
199 |
$0.00 |
| 90677 |
|
524 |
504 |
$0.00 |
| 90656 |
|
357 |
357 |
$0.00 |