| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,945 |
7,623 |
$415K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,702 |
2,177 |
$203K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,456 |
2,168 |
$165K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,582 |
1,461 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,092 |
997 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,052 |
916 |
$75K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,077 |
2,664 |
$50K |
| 90670 |
|
1,694 |
1,398 |
$30K |
| 83655 |
|
1,527 |
1,259 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
639 |
463 |
$16K |
| 90677 |
|
293 |
271 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
884 |
800 |
$14K |
| 90686 |
|
1,470 |
1,287 |
$13K |
| 87428 |
|
200 |
169 |
$13K |
| 90651 |
|
469 |
435 |
$12K |
| 90698 |
|
1,224 |
1,037 |
$10K |
| 90633 |
|
1,046 |
846 |
$8K |
| 90734 |
|
367 |
332 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
534 |
490 |
$7K |
| 90744 |
|
805 |
680 |
$5K |
| 90700 |
|
732 |
615 |
$5K |
| 90716 |
|
341 |
254 |
$5K |
| 90723 |
|
260 |
223 |
$4K |
| 90680 |
|
259 |
222 |
$4K |
| 90647 |
|
255 |
221 |
$4K |
| 85018 |
|
1,704 |
1,428 |
$4K |
| 90681 |
|
461 |
419 |
$4K |
| 90707 |
|
343 |
252 |
$4K |
| 90710 |
|
269 |
218 |
$3K |
| 90620 |
|
113 |
98 |
$3K |
| 90656 |
|
136 |
126 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
90 |
$2K |
| 96127 |
|
148 |
125 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
145 |
118 |
$2K |
| 99381 |
|
22 |
18 |
$2K |
| 90713 |
|
264 |
197 |
$2K |
| 90715 |
|
156 |
139 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
33 |
$1K |
| 1220F |
|
854 |
817 |
$997.50 |
| 90648 |
|
129 |
108 |
$864.88 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
17 |
$703.46 |
| 0071A |
|
14 |
14 |
$562.82 |
| 87807 |
|
54 |
53 |
$533.18 |
| 90685 |
|
55 |
48 |
$462.44 |
| 90696 |
|
16 |
15 |
$197.40 |
| A7015 |
Aerosol mask, used with dme nebulizer |
96 |
82 |
$192.76 |
| 81002 |
|
58 |
52 |
$150.80 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
65 |
64 |
$76.84 |
| 86580 |
|
20 |
17 |
$72.00 |
| 2015F |
|
110 |
108 |
$0.00 |