| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,127 |
17,544 |
$866K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,794 |
4,448 |
$317K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,659 |
11,203 |
$222K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,157 |
2,082 |
$138K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,010 |
1,956 |
$129K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,341 |
1,300 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,343 |
1,275 |
$79K |
| 87428 |
|
1,423 |
1,250 |
$74K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,965 |
3,839 |
$64K |
| 92587 |
|
3,857 |
3,695 |
$63K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
674 |
651 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
781 |
741 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,132 |
2,010 |
$20K |
| 90686 |
|
1,920 |
1,811 |
$19K |
| 90674 |
|
1,159 |
1,060 |
$15K |
| 99177 |
|
2,500 |
2,342 |
$12K |
| 99401 |
|
879 |
851 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
128 |
113 |
$7K |
| 90651 |
|
112 |
107 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
397 |
388 |
$5K |
| 90619 |
|
49 |
47 |
$4K |
| 90671 |
|
48 |
27 |
$4K |
| 90461 |
|
495 |
444 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
430 |
401 |
$4K |
| 92567 |
|
431 |
430 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
321 |
312 |
$3K |
| 97802 |
|
868 |
840 |
$3K |
| 90661 |
|
118 |
117 |
$3K |
| 87400 |
|
1,590 |
1,433 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
834 |
804 |
$2K |
| 90670 |
|
143 |
124 |
$948.46 |
| 90715 |
|
57 |
54 |
$938.45 |
| 93000 |
|
54 |
54 |
$836.68 |
| 99173 |
|
618 |
592 |
$749.89 |
| 90716 |
|
25 |
15 |
$574.48 |
| 90656 |
|
15 |
15 |
$335.07 |
| 92558 |
|
126 |
106 |
$239.42 |
| 86580 |
|
41 |
40 |
$174.26 |
| 90700 |
|
123 |
112 |
$172.40 |
| 90473 |
|
12 |
12 |
$142.52 |
| 90713 |
|
49 |
46 |
$87.77 |
| 90633 |
|
43 |
41 |
$86.00 |
| 99000 |
|
1,243 |
1,180 |
$82.50 |
| A7015 |
Aerosol mask, used with dme nebulizer |
30 |
25 |
$57.94 |
| 3008F |
|
331 |
289 |
$49.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
25 |
$24.00 |
| 90648 |
|
28 |
26 |
$22.83 |
| A4616 |
Tubing (oxygen), per foot |
30 |
25 |
$19.00 |
| 90698 |
|
30 |
25 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |