| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,608 |
26,439 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,787 |
16,429 |
$1.09M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,462 |
18,507 |
$530K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,250 |
5,593 |
$328K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,494 |
4,645 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,274 |
3,006 |
$168K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,812 |
1,628 |
$99K |
| 90670 |
|
3,931 |
3,343 |
$63K |
| 90677 |
|
399 |
334 |
$26K |
| 90686 |
|
3,397 |
3,135 |
$21K |
| 90698 |
|
2,095 |
1,758 |
$16K |
| 90633 |
|
1,080 |
934 |
$8K |
| 90710 |
|
572 |
504 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,080 |
976 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
252 |
$6K |
| 90680 |
|
1,203 |
1,016 |
$6K |
| 90672 |
|
869 |
811 |
$5K |
| 90651 |
|
358 |
307 |
$5K |
| 90619 |
|
285 |
247 |
$5K |
| 0072A |
|
49 |
49 |
$4K |
| 99173 |
|
2,560 |
2,281 |
$4K |
| 0071A |
|
32 |
31 |
$2K |
| 90744 |
|
552 |
483 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
321 |
270 |
$1K |
| 90461 |
|
9,545 |
7,720 |
$1K |
| 90734 |
|
119 |
105 |
$871.67 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
126 |
82 |
$859.44 |
| 90685 |
|
60 |
59 |
$510.00 |
| 90621 |
|
17 |
13 |
$492.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
140 |
135 |
$406.10 |
| 90715 |
|
90 |
80 |
$296.25 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
25 |
$295.65 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
40 |
$247.31 |
| 90480 |
|
13 |
13 |
$148.75 |
| 92551 |
|
40 |
37 |
$79.64 |
| 90696 |
|
31 |
30 |
$29.50 |
| 81002 |
|
12 |
12 |
$22.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
38 |
27 |
$14.11 |
| 99072 |
|
808 |
739 |
$0.00 |
| J7699 |
Noc drugs, inhalation solution administered through dme |
17 |
14 |
$0.00 |
| 91307 |
|
177 |
166 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |