| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,777 |
18,607 |
$1.23M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,794 |
5,825 |
$428K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,427 |
4,501 |
$328K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,411 |
3,724 |
$247K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,714 |
2,199 |
$177K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,374 |
3,848 |
$137K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,512 |
6,479 |
$104K |
| 99381 |
|
1,084 |
998 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,353 |
9,755 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
609 |
591 |
$58K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,237 |
1,223 |
$42K |
| 99383 |
|
332 |
332 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,502 |
3,010 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,310 |
1,077 |
$28K |
| 85018 |
|
14,075 |
11,637 |
$24K |
| 99382 |
|
236 |
233 |
$21K |
| 83655 |
|
2,022 |
1,628 |
$19K |
| 96127 |
|
5,043 |
3,545 |
$14K |
| 99384 |
|
140 |
140 |
$14K |
| 81002 |
|
3,860 |
3,823 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
842 |
692 |
$9K |
| 81000 |
|
4,163 |
2,386 |
$7K |
| E0570 |
Nebulizer, with compressor |
103 |
55 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
438 |
336 |
$3K |
| 87807 |
|
217 |
199 |
$2K |
| 99406 |
|
605 |
336 |
$2K |
| 99188 |
|
104 |
100 |
$757.60 |
| 81003 |
|
31 |
31 |
$63.86 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
45 |
31 |
$32.12 |
| 90658 |
|
100 |
58 |
$11.37 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
15 |
$7.40 |
| 97802 |
|
12 |
12 |
$5.00 |
| 90670 |
|
3,939 |
3,407 |
$0.45 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
43 |
43 |
$0.20 |
| 90686 |
|
963 |
886 |
$0.00 |
| 90744 |
|
1,160 |
994 |
$0.00 |
| 90651 |
|
983 |
894 |
$0.00 |
| 90680 |
|
1,994 |
1,750 |
$0.00 |
| 90698 |
|
1,902 |
1,660 |
$0.00 |
| 90696 |
|
736 |
676 |
$0.00 |
| 90723 |
|
990 |
849 |
$0.00 |
| 90716 |
|
1,371 |
1,163 |
$0.00 |
| 90620 |
|
301 |
217 |
$0.00 |
| 90619 |
|
78 |
78 |
$0.00 |
| 90697 |
|
39 |
38 |
$0.00 |
| 90707 |
|
1,387 |
1,165 |
$0.00 |
| 99173 |
|
7,476 |
6,016 |
$0.00 |
| 90648 |
|
1,737 |
1,493 |
$0.00 |
| 90633 |
|
2,270 |
1,968 |
$0.00 |
| 90734 |
|
970 |
816 |
$0.00 |
| 90715 |
|
460 |
409 |
$0.00 |
| 90700 |
|
964 |
833 |
$0.00 |
| 90710 |
|
564 |
563 |
$0.00 |
| 90685 |
|
171 |
162 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |