| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,157 |
22,817 |
$1.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,116 |
11,901 |
$985K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,728 |
293 |
$787K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,857 |
2,851 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,409 |
5,315 |
$222K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,409 |
2,403 |
$213K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,268 |
2,260 |
$181K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,937 |
1,904 |
$144K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,028 |
1,022 |
$95K |
| 92567 |
|
4,798 |
4,769 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
784 |
777 |
$54K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
179 |
173 |
$36K |
| 99385 |
|
335 |
332 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
314 |
311 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,822 |
1,790 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
732 |
714 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
7,219 |
6,971 |
$22K |
| 99000 |
|
3,667 |
3,431 |
$18K |
| 96127 |
|
4,170 |
4,144 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,236 |
1,198 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
484 |
470 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,179 |
1,125 |
$16K |
| 99173 |
|
5,846 |
5,654 |
$13K |
| 92551 |
|
1,070 |
1,064 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
437 |
436 |
$10K |
| 96160 |
|
4,073 |
3,993 |
$10K |
| 95115 |
|
1,074 |
440 |
$10K |
| 99383 |
|
92 |
91 |
$8K |
| 99401 |
|
191 |
185 |
$6K |
| 95117 |
|
412 |
197 |
$5K |
| 0002A |
|
47 |
46 |
$4K |
| 99188 |
|
362 |
357 |
$4K |
| 54450 |
|
55 |
55 |
$4K |
| 93000 |
|
265 |
264 |
$3K |
| 81002 |
|
1,100 |
1,044 |
$3K |
| 0071A |
|
38 |
38 |
$3K |
| 99384 |
|
27 |
27 |
$3K |
| 99382 |
|
25 |
25 |
$2K |
| 94010 |
|
66 |
62 |
$2K |
| 99386 |
|
13 |
13 |
$2K |
| 0072A |
|
21 |
21 |
$1K |
| 0001A |
|
14 |
14 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
57 |
$628.09 |
| 94760 |
|
2,190 |
1,834 |
$453.36 |
| 94664 |
|
30 |
29 |
$414.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
354 |
346 |
$391.58 |
| 99408 |
|
89 |
79 |
$311.43 |
| 81025 |
|
26 |
26 |
$158.78 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$20.84 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
27 |
26 |
$5.37 |
| 3077F |
|
16 |
13 |
$0.00 |
| 90734 |
|
331 |
306 |
$0.00 |
| 90670 |
|
981 |
879 |
$0.00 |
| 90633 |
|
417 |
372 |
$0.00 |
| 90707 |
|
27 |
25 |
$0.00 |
| 90715 |
|
91 |
84 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
136 |
115 |
$0.00 |
| 90671 |
|
86 |
69 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90696 |
|
41 |
41 |
$0.00 |
| 90698 |
|
345 |
330 |
$0.00 |
| 90651 |
|
230 |
208 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 90686 |
|
275 |
249 |
$0.00 |
| 90680 |
|
506 |
449 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 90697 |
|
227 |
189 |
$0.00 |
| 90744 |
|
44 |
44 |
$0.00 |
| 3008F |
|
196 |
166 |
$0.00 |
| 90716 |
|
44 |
37 |
$0.00 |
| 1170F |
|
21 |
20 |
$0.00 |