| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,376 |
2,190 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,468 |
1,386 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
869 |
857 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
751 |
731 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
769 |
713 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,300 |
2,153 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
974 |
921 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
340 |
333 |
$25K |
| 90670 |
|
344 |
328 |
$19K |
| 99188 |
|
397 |
379 |
$5K |
| 94667 |
|
303 |
285 |
$4K |
| 90461 |
|
1,489 |
1,281 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
364 |
315 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
353 |
331 |
$3K |
| 90651 |
|
240 |
223 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
33 |
$440.08 |
| 90715 |
|
32 |
32 |
$372.51 |
| 90619 |
|
22 |
22 |
$254.51 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$232.85 |
| 99173 |
|
2,158 |
1,788 |
$188.57 |
| 90680 |
|
94 |
93 |
$125.00 |
| 83655 |
|
17 |
17 |
$93.83 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
535 |
403 |
$58.74 |
| 90700 |
|
31 |
25 |
$32.88 |
| 90633 |
|
115 |
104 |
$25.00 |
| 90620 |
|
24 |
24 |
$10.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,844 |
2,390 |
$6.67 |
| 90734 |
|
83 |
82 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 96127 |
|
1,030 |
864 |
$0.00 |
| 90686 |
|
190 |
181 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
142 |
131 |
$0.00 |