| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128,236 |
107,435 |
$6.52M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61,742 |
50,766 |
$2.59M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
23,593 |
20,864 |
$2.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26,028 |
22,415 |
$2.00M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,925 |
11,937 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,212 |
11,403 |
$1.03M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52,255 |
40,975 |
$841K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,695 |
6,140 |
$704K |
| 87428 |
|
10,153 |
8,983 |
$578K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,606 |
10,519 |
$420K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,290 |
6,084 |
$358K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24,312 |
21,018 |
$304K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,818 |
7,633 |
$293K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21,414 |
9,596 |
$267K |
| 92552 |
|
6,560 |
5,534 |
$124K |
| 96161 |
|
12,654 |
11,046 |
$107K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,847 |
2,515 |
$105K |
| 87807 |
|
7,685 |
6,844 |
$92K |
| 96127 |
|
17,883 |
14,384 |
$87K |
| 83655 |
|
5,612 |
4,781 |
$69K |
| 99173 |
|
13,459 |
11,579 |
$58K |
| 90677 |
|
2,502 |
2,253 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,272 |
3,130 |
$52K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,789 |
4,753 |
$46K |
| 92551 |
|
4,885 |
4,190 |
$42K |
| 90670 |
|
14,600 |
12,913 |
$39K |
| 3008F |
|
5,562 |
3,871 |
$37K |
| 85018 |
|
13,812 |
11,460 |
$34K |
| 94760 |
|
63,524 |
53,571 |
$32K |
| 80061 |
Lipid panel |
2,316 |
1,748 |
$32K |
| 90461 |
|
33,931 |
29,377 |
$31K |
| 36416 |
|
35,412 |
28,628 |
$30K |
| 99381 |
|
447 |
342 |
$29K |
| 90651 |
|
2,738 |
2,132 |
$23K |
| 90716 |
|
5,147 |
4,366 |
$17K |
| 81002 |
|
6,226 |
5,274 |
$17K |
| 90619 |
|
804 |
524 |
$17K |
| 90698 |
|
11,605 |
10,283 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
748 |
582 |
$11K |
| 90680 |
|
9,567 |
8,534 |
$11K |
| 90707 |
|
5,275 |
4,427 |
$10K |
| 90734 |
|
1,254 |
965 |
$9K |
| 90686 |
|
10,351 |
9,418 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
159 |
121 |
$8K |
| 90633 |
|
6,278 |
5,404 |
$5K |
| 90700 |
|
4,697 |
4,015 |
$3K |
| 99460 |
|
69 |
46 |
$3K |
| 90744 |
|
7,467 |
6,517 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
29 |
28 |
$3K |
| 96380 |
|
118 |
106 |
$2K |
| 90715 |
|
857 |
622 |
$2K |
| 81025 |
|
393 |
317 |
$2K |
| 0071A |
|
103 |
49 |
$2K |
| 87400 |
|
270 |
93 |
$2K |
| 0072A |
|
38 |
29 |
$1K |
| 90713 |
|
1,310 |
1,106 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$1K |
| 90661 |
|
911 |
832 |
$350.38 |
| 82247 |
|
89 |
51 |
$344.59 |
| 94761 |
|
185 |
132 |
$183.06 |
| 90648 |
|
691 |
621 |
$160.46 |
| 82947 |
|
81 |
61 |
$158.49 |
| A7015 |
Aerosol mask, used with dme nebulizer |
415 |
318 |
$150.49 |
| 81000 |
|
36 |
28 |
$98.02 |
| 90688 |
|
569 |
505 |
$80.04 |
| 90656 |
|
69 |
53 |
$47.37 |
| A4616 |
Tubing (oxygen), per foot |
405 |
310 |
$13.05 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
48 |
44 |
$6.86 |
| 91307 |
|
252 |
165 |
$0.12 |
| 90674 |
|
643 |
568 |
$0.02 |
| 90380 |
|
32 |
28 |
$0.01 |
| 90381 |
|
67 |
67 |
$0.00 |
| 90685 |
|
434 |
405 |
$0.00 |
| 90687 |
|
92 |
86 |
$0.00 |
| 90655 |
|
42 |
38 |
$0.00 |
| 90621 |
|
18 |
13 |
$0.00 |