| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,530 |
15,543 |
$900K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,518 |
6,002 |
$263K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,983 |
8,286 |
$204K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,377 |
4,827 |
$193K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,640 |
2,598 |
$190K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,609 |
2,430 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,110 |
2,073 |
$167K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,541 |
9,709 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,326 |
1,307 |
$114K |
| 99383 |
|
994 |
949 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,826 |
6,375 |
$70K |
| 99429 |
|
2,135 |
2,073 |
$64K |
| 87428 |
|
900 |
795 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,014 |
953 |
$46K |
| 99384 |
|
547 |
528 |
$41K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,636 |
2,417 |
$33K |
| 99381 |
|
528 |
508 |
$31K |
| 99382 |
|
478 |
461 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,109 |
2,529 |
$22K |
| 94375 |
|
674 |
663 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
259 |
252 |
$18K |
| 87807 |
|
1,695 |
1,576 |
$17K |
| 94010 |
|
640 |
623 |
$14K |
| 83655 |
|
829 |
819 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
578 |
453 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
887 |
880 |
$7K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,578 |
2,374 |
$6K |
| 99461 |
|
111 |
109 |
$5K |
| 96160 |
|
2,622 |
2,533 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
160 |
160 |
$3K |
| 92567 |
|
224 |
222 |
$3K |
| 94060 |
|
78 |
75 |
$3K |
| 81002 |
|
961 |
920 |
$2K |
| 90461 |
|
1,436 |
800 |
$2K |
| 0071A |
|
84 |
81 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
526 |
325 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
163 |
83 |
$713.83 |
| 90480 |
|
26 |
26 |
$630.02 |
| 83013 |
|
12 |
12 |
$622.38 |
| 94761 |
|
199 |
187 |
$383.17 |
| 90473 |
|
637 |
620 |
$353.28 |
| 85018 |
|
146 |
144 |
$218.90 |
| 94760 |
|
170 |
165 |
$215.60 |
| 90619 |
|
508 |
498 |
$96.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
73 |
$89.76 |
| 83014 |
|
12 |
12 |
$72.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
125 |
124 |
$50.59 |
| 81003 |
|
29 |
28 |
$41.19 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,620 |
4,529 |
$15.53 |
| 91307 |
|
233 |
176 |
$2.16 |
| 90677 |
|
802 |
799 |
$1.95 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
116 |
85 |
$1.12 |
| 97802 |
|
2,142 |
2,115 |
$0.96 |
| 90697 |
|
411 |
403 |
$0.96 |
| 90686 |
|
1,831 |
1,778 |
$0.06 |
| 90670 |
|
1,222 |
1,170 |
$0.05 |
| 90723 |
|
1,057 |
1,028 |
$0.05 |
| 90648 |
|
1,544 |
1,498 |
$0.04 |
| 90681 |
|
921 |
900 |
$0.03 |
| 90651 |
|
1,028 |
1,004 |
$0.02 |
| 90381 |
|
26 |
26 |
$0.02 |
| 91321 |
|
27 |
27 |
$0.01 |
| 90700 |
|
494 |
486 |
$0.00 |
| 90633 |
|
1,112 |
1,084 |
$0.00 |
| 90707 |
|
390 |
384 |
$0.00 |
| 90710 |
|
360 |
354 |
$0.00 |
| 90715 |
|
204 |
196 |
$0.00 |
| 90734 |
|
136 |
127 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
37 |
37 |
$0.00 |
| 99173 |
|
33 |
32 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
1,513 |
1,430 |
$0.00 |
| 96161 |
|
1,200 |
1,007 |
$0.00 |
| M0249 |
Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose |
13 |
13 |
$0.00 |
| 96127 |
|
1,123 |
1,046 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
63 |
61 |
$0.00 |
| 90716 |
|
407 |
401 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
447 |
412 |
$0.00 |
| 90696 |
|
306 |
298 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
48 |
$0.00 |
| 90694 |
|
148 |
147 |
$0.00 |
| 90656 |
|
371 |
364 |
$0.00 |
| 36416 |
|
580 |
571 |
$0.00 |
| 90620 |
|
356 |
351 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
55 |
55 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$0.00 |