| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,925 |
5,651 |
$553K |
| 99215 |
Prolong outpt/office vis |
3,402 |
2,528 |
$377K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,025 |
1,569 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,082 |
2,896 |
$85K |
| 99401 |
|
2,148 |
1,914 |
$61K |
| 87501 |
|
1,351 |
1,236 |
$54K |
| 99442 |
|
641 |
532 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
493 |
488 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
363 |
361 |
$29K |
| 99205 |
Prolong outpt/office vis |
182 |
181 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,548 |
2,382 |
$26K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,826 |
1,711 |
$22K |
| 86403 |
|
2,535 |
2,277 |
$20K |
| 92283 |
|
584 |
578 |
$19K |
| 92552 |
|
760 |
749 |
$18K |
| 99051 |
|
1,349 |
1,210 |
$14K |
| 90461 |
|
422 |
407 |
$13K |
| 94060 |
|
227 |
212 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
125 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
576 |
483 |
$8K |
| 92551 |
|
859 |
851 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
48 |
$6K |
| 36410 |
|
544 |
541 |
$5K |
| 90901 |
|
184 |
184 |
$5K |
| 99443 |
|
127 |
110 |
$5K |
| 99188 |
|
173 |
171 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
76 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
65 |
63 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
425 |
419 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
124 |
$3K |
| 87081 |
|
485 |
464 |
$2K |
| A7014 |
Filter, nondisposable, used with aerosol compressor or ultrasonic generator |
644 |
605 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
675 |
606 |
$799.01 |
| 81025 |
|
130 |
125 |
$688.31 |
| 99173 |
|
225 |
222 |
$528.71 |
| A7015 |
Aerosol mask, used with dme nebulizer |
665 |
597 |
$524.19 |
| 81000 |
|
174 |
165 |
$462.36 |
| 90658 |
|
46 |
46 |
$391.82 |
| 81003 |
|
131 |
123 |
$219.26 |
| 81001 |
|
65 |
61 |
$137.48 |
| 85014 |
|
34 |
34 |
$60.52 |
| 85018 |
|
34 |
34 |
$60.52 |
| 81002 |
|
28 |
28 |
$54.28 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$23.10 |
| 90686 |
|
894 |
880 |
$0.36 |
| 90672 |
|
33 |
33 |
$0.33 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |