| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,614 |
14,400 |
$555K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,470 |
2,352 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,335 |
1,262 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,230 |
1,155 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,098 |
3,780 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
534 |
475 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
179 |
156 |
$14K |
| 90461 |
|
446 |
425 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
981 |
804 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
423 |
380 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
188 |
159 |
$8K |
| 87400 |
|
675 |
232 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
77 |
$5K |
| 87428 |
|
140 |
134 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
315 |
259 |
$4K |
| 90670 |
|
316 |
284 |
$2K |
| 87430 |
|
114 |
108 |
$2K |
| 90697 |
|
500 |
478 |
$1K |
| 83655 |
|
94 |
78 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
57 |
$690.52 |
| 85018 |
|
301 |
273 |
$613.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
45 |
$371.35 |
| 90680 |
|
447 |
424 |
$306.82 |
| 90671 |
|
511 |
502 |
$270.86 |
| 87807 |
|
17 |
17 |
$222.70 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
15 |
15 |
$129.80 |
| 90716 |
|
24 |
24 |
$123.00 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
33 |
$70.65 |
| 90686 |
|
66 |
52 |
$65.53 |
| 90710 |
|
32 |
32 |
$39.00 |
| 90715 |
|
63 |
61 |
$37.42 |
| 90633 |
|
228 |
222 |
$31.03 |
| 81002 |
|
28 |
24 |
$20.96 |
| 90696 |
|
30 |
30 |
$13.04 |
| 3078F |
|
7,974 |
6,998 |
$6.74 |
| 3074F |
|
8,053 |
7,059 |
$6.37 |
| 3008F |
|
13,250 |
11,617 |
$4.32 |
| 1160F |
|
11,611 |
9,867 |
$4.26 |
| 1159F |
|
11,613 |
9,869 |
$4.26 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
14 |
14 |
$2.96 |
| 3079F |
|
392 |
342 |
$1.22 |
| 3075F |
|
236 |
201 |
$0.77 |
| 1036F |
|
2,165 |
1,736 |
$0.43 |
| 1034F |
|
333 |
226 |
$0.10 |
| 90700 |
|
28 |
27 |
$0.00 |
| 3725F |
|
338 |
304 |
$0.00 |
| 90734 |
|
49 |
44 |
$0.00 |
| 90723 |
|
79 |
70 |
$0.00 |
| 1035F |
|
17 |
14 |
$0.00 |
| 90619 |
|
59 |
58 |
$0.00 |
| 90647 |
|
90 |
84 |
$0.00 |
| 99000 |
|
31 |
31 |
$0.00 |
| 90651 |
|
16 |
15 |
$0.00 |
| 36416 |
|
18 |
17 |
$0.00 |