| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,117 |
17,238 |
$745K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,179 |
4,083 |
$193K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,816 |
4,533 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
809 |
783 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
776 |
733 |
$50K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,246 |
1,193 |
$48K |
| 90461 |
|
1,377 |
1,359 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,461 |
1,438 |
$43K |
| 99173 |
|
1,453 |
1,423 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
575 |
559 |
$18K |
| 92551 |
|
1,332 |
1,303 |
$14K |
| 87430 |
|
685 |
664 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
123 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
80 |
$5K |
| 90686 |
|
1,309 |
1,301 |
$4K |
| 97802 |
|
401 |
381 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
242 |
241 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
255 |
235 |
$2K |
| 99408 |
|
40 |
40 |
$1K |
| 36416 |
|
341 |
317 |
$595.65 |
| 87807 |
|
48 |
48 |
$529.00 |
| 90670 |
|
155 |
151 |
$406.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
27 |
$270.78 |
| 90648 |
|
206 |
201 |
$222.40 |
| 81002 |
|
50 |
50 |
$140.11 |
| 90656 |
|
82 |
82 |
$44.75 |
| A7015 |
Aerosol mask, used with dme nebulizer |
27 |
26 |
$21.73 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
28 |
27 |
$1.02 |
| 3008F |
|
1,090 |
1,078 |
$0.27 |
| 2014F |
|
67 |
67 |
$0.25 |
| 90671 |
|
26 |
25 |
$0.00 |
| 90723 |
|
26 |
25 |
$0.00 |
| 90680 |
|
26 |
25 |
$0.00 |
| 90660 |
|
14 |
14 |
$0.00 |