| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,773 |
5,454 |
$520K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,921 |
1,842 |
$320K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
916 |
916 |
$118K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,164 |
1,142 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
591 |
591 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
557 |
557 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,591 |
815 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,650 |
1,646 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
430 |
409 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,788 |
1,771 |
$34K |
| 99051 |
|
1,519 |
1,466 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
837 |
835 |
$21K |
| 90461 |
|
1,147 |
314 |
$17K |
| 96127 |
|
1,044 |
1,044 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
979 |
979 |
$15K |
| 87081 |
|
1,131 |
1,126 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
230 |
$9K |
| 99188 |
|
144 |
144 |
$5K |
| 87400 |
|
134 |
133 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$2K |
| 94010 |
|
92 |
46 |
$2K |
| 90474 |
|
45 |
45 |
$668.70 |
| 83655 |
|
27 |
27 |
$364.62 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$274.92 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$245.70 |
| 81002 |
|
13 |
13 |
$39.52 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$17.00 |