| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,369 |
7,742 |
$849K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,175 |
10,045 |
$777K |
| 99215 |
Prolong outpt/office vis |
5,389 |
4,900 |
$683K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,535 |
356 |
$295K |
| 99233 |
Prolong inpt eval add15 m |
1,624 |
469 |
$132K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
290 |
54 |
$104K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,000 |
1,323 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
745 |
741 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
709 |
638 |
$62K |
| 99205 |
Prolong outpt/office vis |
277 |
277 |
$52K |
| 99292 |
|
431 |
224 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,660 |
2,647 |
$47K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
859 |
808 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,284 |
1,281 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
340 |
340 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,588 |
1,067 |
$30K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
329 |
328 |
$30K |
| 99223 |
Prolong inpt eval add15 m |
150 |
150 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
243 |
243 |
$25K |
| 95117 |
|
2,665 |
1,088 |
$23K |
| 94010 |
|
734 |
705 |
$16K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
157 |
134 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
500 |
495 |
$14K |
| 99471 |
|
17 |
17 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
801 |
791 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
2,872 |
2,747 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
162 |
$6K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
27 |
27 |
$5K |
| 94060 |
|
75 |
73 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
154 |
125 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 87807 |
|
103 |
102 |
$1K |
| 96127 |
|
117 |
114 |
$719.28 |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
72 |
71 |
$569.18 |
| 90686 |
|
328 |
328 |
$115.55 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
43 |
42 |
$8.14 |
| 96160 |
|
180 |
180 |
$3.41 |
| 90734 |
|
13 |
13 |
$0.01 |
| 90633 |
|
29 |
29 |
$0.00 |
| 90670 |
|
114 |
114 |
$0.00 |
| 90710 |
|
20 |
20 |
$0.00 |
| 90647 |
|
41 |
41 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 91307 |
|
16 |
15 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |