| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,950 |
41,133 |
$4.46M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,885 |
19,189 |
$1.44M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,614 |
11,610 |
$1.08M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,267 |
10,215 |
$893K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,513 |
6,510 |
$601K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,668 |
12,642 |
$546K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,753 |
17,680 |
$319K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,407 |
2,406 |
$244K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,172 |
12,834 |
$188K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,134 |
24,618 |
$179K |
| 87400 |
|
6,684 |
6,478 |
$162K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,103 |
1,088 |
$108K |
| 92551 |
|
10,598 |
10,596 |
$105K |
| 87081 |
|
10,460 |
10,226 |
$64K |
| 99215 |
Prolong outpt/office vis |
472 |
460 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
2,236 |
2,063 |
$61K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,630 |
1,604 |
$55K |
| 82947 |
|
13,532 |
13,501 |
$49K |
| 81001 |
|
14,960 |
14,588 |
$43K |
| 99460 |
|
466 |
465 |
$41K |
| 96161 |
|
5,473 |
5,464 |
$27K |
| 99173 |
|
9,057 |
9,056 |
$23K |
| 87420 |
|
1,664 |
1,613 |
$20K |
| 83655 |
|
1,430 |
1,429 |
$16K |
| 96127 |
|
1,538 |
1,496 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
217 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
825 |
824 |
$7K |
| 99462 |
|
66 |
50 |
$3K |
| 99050 |
|
125 |
123 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
13 |
$2K |
| 99381 |
|
12 |
12 |
$1K |
| 54150 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
54 |
$961.07 |
| 90671 |
|
616 |
616 |
$712.23 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
84 |
82 |
$608.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$282.10 |
| 96380 |
|
13 |
13 |
$255.71 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$220.90 |
| 90633 |
|
1,856 |
1,854 |
$186.30 |
| 90698 |
|
5,990 |
5,985 |
$100.65 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,864 |
4,863 |
$35.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$26.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
12 |
$8.50 |
| 90688 |
|
1,400 |
1,394 |
$0.00 |
| 90680 |
|
3,632 |
3,629 |
$0.00 |
| 90744 |
|
2,424 |
2,421 |
$0.00 |
| 90651 |
|
642 |
642 |
$0.00 |
| 90716 |
|
64 |
64 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |
| 96160 |
|
7,994 |
7,987 |
$0.00 |
| 90710 |
|
367 |
366 |
$0.00 |
| 90670 |
|
5,322 |
5,317 |
$0.00 |
| 90734 |
|
298 |
298 |
$0.00 |
| 90658 |
|
53 |
53 |
$0.00 |
| 90707 |
|
78 |
78 |
$0.00 |
| 90715 |
|
67 |
67 |
$0.00 |