| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,069 |
8,059 |
$834K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,644 |
2,318 |
$254K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,588 |
3,573 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,480 |
5,654 |
$210K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,397 |
1,965 |
$205K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,032 |
1,757 |
$161K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,764 |
4,278 |
$68K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,167 |
1,805 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
700 |
635 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,894 |
2,919 |
$59K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,387 |
1,342 |
$50K |
| 99174 |
|
2,502 |
2,208 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,943 |
2,518 |
$26K |
| 92551 |
|
4,399 |
3,749 |
$21K |
| 36416 |
|
6,887 |
5,947 |
$18K |
| 96127 |
|
943 |
822 |
$12K |
| 99173 |
|
2,067 |
1,835 |
$12K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,117 |
885 |
$11K |
| 99051 |
|
1,604 |
1,397 |
$9K |
| 99215 |
Prolong outpt/office vis |
68 |
60 |
$8K |
| 83655 |
|
861 |
774 |
$8K |
| 94760 |
|
5,398 |
4,582 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
269 |
254 |
$6K |
| 80061 |
Lipid panel |
468 |
445 |
$5K |
| 87807 |
|
461 |
405 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
27 |
$1K |
| 96161 |
|
44 |
42 |
$567.00 |
| 85018 |
|
6,712 |
5,817 |
$286.21 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$100.10 |
| 94664 |
|
12 |
12 |
$99.36 |
| 94761 |
|
14 |
13 |
$40.32 |
| 81002 |
|
15 |
12 |
$2.20 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
13 |
13 |
$1.30 |
| A4616 |
Tubing (oxygen), per foot |
13 |
13 |
$0.00 |
| 90698 |
|
467 |
374 |
$0.00 |
| 90646 |
|
14 |
12 |
$0.00 |
| 90686 |
|
2,438 |
2,238 |
$0.00 |
| 90744 |
|
37 |
37 |
$0.00 |
| 90680 |
|
614 |
526 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$0.00 |
| 90723 |
|
81 |
80 |
$0.00 |
| 90696 |
|
43 |
36 |
$0.00 |
| 90651 |
|
29 |
13 |
$0.00 |
| 90716 |
|
28 |
25 |
$0.00 |
| 90648 |
|
118 |
114 |
$0.00 |
| 90670 |
|
1,277 |
1,130 |
$0.00 |
| 90685 |
|
114 |
108 |
$0.00 |
| 90633 |
|
433 |
365 |
$0.00 |
| 90707 |
|
30 |
26 |
$0.00 |
| 90734 |
|
98 |
70 |
$0.00 |
| 90710 |
|
43 |
36 |
$0.00 |