| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,411 |
13,945 |
$1.93M |
| 99401 |
|
12,420 |
8,593 |
$369K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,757 |
6,339 |
$331K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,225 |
1,731 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,018 |
2,429 |
$189K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
5,846 |
3,896 |
$145K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,524 |
1,165 |
$122K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,189 |
942 |
$104K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,230 |
6,489 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,128 |
6,578 |
$92K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,918 |
4,236 |
$89K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,728 |
2,702 |
$82K |
| 99199 |
Unlisted special service, procedure or report |
20,848 |
19,974 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
762 |
482 |
$76K |
| 92587 |
|
3,844 |
2,942 |
$60K |
| 94664 |
|
5,627 |
3,759 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,503 |
1,719 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,512 |
4,628 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
333 |
265 |
$32K |
| 88738 |
|
4,211 |
3,462 |
$22K |
| 99051 |
|
1,016 |
660 |
$15K |
| 99383 |
|
157 |
119 |
$14K |
| 83655 |
|
1,061 |
834 |
$12K |
| 80061 |
Lipid panel |
1,040 |
796 |
$11K |
| 98960 |
|
5,578 |
3,739 |
$11K |
| 99382 |
|
119 |
79 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
4,292 |
3,224 |
$10K |
| 85018 |
|
4,422 |
3,165 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
48 |
47 |
$7K |
| 96127 |
|
2,178 |
1,557 |
$7K |
| 69210 |
|
218 |
175 |
$6K |
| 87631 |
|
45 |
44 |
$4K |
| 90734 |
|
132 |
106 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
15 |
$3K |
| 99173 |
|
3,518 |
2,698 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
48 |
47 |
$2K |
| 88740 |
|
402 |
255 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
46 |
$2K |
| 0071A |
|
43 |
29 |
$2K |
| 87807 |
|
160 |
125 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
48 |
47 |
$1K |
| 99381 |
|
18 |
14 |
$1K |
| 90710 |
|
322 |
244 |
$1K |
| 82270 |
|
288 |
240 |
$1K |
| 0072A |
|
13 |
13 |
$780.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
386 |
117 |
$568.54 |
| 99177 |
|
1,826 |
1,143 |
$516.48 |
| 90696 |
|
181 |
146 |
$418.74 |
| 90698 |
|
999 |
695 |
$406.96 |
| 90670 |
|
1,257 |
799 |
$397.30 |
| 92551 |
|
189 |
62 |
$309.11 |
| 92552 |
|
22 |
13 |
$288.32 |
| 90686 |
|
702 |
440 |
$183.57 |
| 90744 |
|
290 |
223 |
$164.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
93 |
60 |
$72.99 |
| 92558 |
|
279 |
148 |
$62.48 |
| 90654 |
|
74 |
44 |
$60.99 |
| 99188 |
|
57 |
38 |
$38.85 |
| 90633 |
|
538 |
444 |
$32.66 |
| 90700 |
|
77 |
63 |
$27.87 |
| 90461 |
|
76 |
16 |
$23.76 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
244 |
215 |
$23.65 |
| 94760 |
|
224 |
82 |
$21.18 |
| 90658 |
|
45 |
43 |
$18.87 |
| 90680 |
|
725 |
514 |
$14.92 |
| J7510 |
Prednisolone oral, per 5 mg |
16 |
13 |
$0.72 |
| 90649 |
|
72 |
64 |
$0.00 |
| 99071 |
|
55 |
34 |
$0.00 |
| 90715 |
|
40 |
37 |
$0.00 |
| 90648 |
|
19 |
13 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
5,302 |
3,487 |
$0.00 |
| 90677 |
|
392 |
380 |
$0.00 |
| 90733 |
|
26 |
24 |
$0.00 |
| 99000 |
|
545 |
386 |
$0.00 |
| 91307 |
|
88 |
69 |
$0.00 |
| 87430 |
|
97 |
46 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |