| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,081 |
10,993 |
$633K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,424 |
8,299 |
$313K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,433 |
2,270 |
$165K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,118 |
2,105 |
$141K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,761 |
1,754 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,495 |
1,493 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,400 |
1,359 |
$86K |
| 99051 |
|
9,168 |
8,120 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,535 |
1,489 |
$54K |
| 92553 |
|
1,565 |
1,554 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,807 |
1,702 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,075 |
3,740 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,079 |
1,026 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,384 |
3,285 |
$14K |
| 86580 |
|
2,192 |
2,174 |
$12K |
| 81002 |
|
4,724 |
4,520 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
112 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
6,634 |
6,320 |
$8K |
| 99173 |
|
4,105 |
4,082 |
$6K |
| 90461 |
|
231 |
231 |
$6K |
| 96127 |
|
1,295 |
1,289 |
$5K |
| 90621 |
|
153 |
152 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
196 |
189 |
$2K |
| 81000 |
|
862 |
820 |
$2K |
| 90651 |
|
229 |
227 |
$2K |
| 90686 |
|
805 |
803 |
$1K |
| 69210 |
|
28 |
28 |
$488.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$476.23 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
198 |
190 |
$359.25 |
| 90744 |
|
241 |
240 |
$227.33 |
| 90734 |
|
119 |
118 |
$196.21 |
| 99000 |
|
8,685 |
7,819 |
$154.70 |
| 90716 |
|
27 |
27 |
$150.00 |
| 96160 |
|
74 |
73 |
$137.31 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
18 |
$78.70 |
| 90715 |
|
28 |
28 |
$77.50 |
| 90670 |
|
81 |
81 |
$53.55 |
| 90713 |
|
278 |
278 |
$26.82 |
| 94760 |
|
2,077 |
2,043 |
$15.14 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
148 |
143 |
$6.88 |
| A7015 |
Aerosol mask, used with dme nebulizer |
173 |
166 |
$5.95 |
| 90700 |
|
402 |
402 |
$0.00 |
| 90648 |
|
155 |
155 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
69 |
68 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90619 |
|
58 |
58 |
$0.00 |