| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,494 |
3,882 |
$258K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,136 |
1,017 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
796 |
765 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
791 |
765 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,663 |
1,579 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
519 |
496 |
$42K |
| 96112 |
|
463 |
457 |
$37K |
| 90461 |
|
888 |
859 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
769 |
707 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
943 |
772 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
531 |
505 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
291 |
146 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
41 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
169 |
$3K |
| 87070 |
|
433 |
409 |
$3K |
| 87184 |
|
432 |
408 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
137 |
128 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
99 |
64 |
$868.38 |
| 99177 |
|
132 |
130 |
$566.94 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
62 |
46 |
$162.08 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
104 |
74 |
$116.69 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
85 |
61 |
$12.80 |