| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76,863 |
46,190 |
$3.35M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20,236 |
12,859 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,253 |
16,951 |
$1.22M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,142 |
10,223 |
$995K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30,775 |
17,395 |
$646K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,099 |
5,431 |
$478K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,693 |
2,307 |
$200K |
| 90461 |
|
22,358 |
14,882 |
$194K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,729 |
4,415 |
$153K |
| 99188 |
|
11,914 |
7,970 |
$83K |
| 97802 |
|
8,910 |
6,431 |
$70K |
| 99401 |
|
3,739 |
3,100 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,493 |
3,856 |
$44K |
| 99460 |
|
575 |
450 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,663 |
3,793 |
$28K |
| 83655 |
|
3,629 |
2,250 |
$17K |
| 54150 |
|
292 |
168 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
537 |
422 |
$14K |
| 90671 |
|
1,324 |
1,057 |
$12K |
| 90670 |
|
8,905 |
5,565 |
$12K |
| 90680 |
|
6,892 |
4,474 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,894 |
5,684 |
$10K |
| 90647 |
|
7,640 |
4,938 |
$10K |
| 90716 |
|
4,237 |
2,734 |
$10K |
| 99402 |
|
56 |
50 |
$8K |
| 90686 |
|
1,595 |
1,308 |
$6K |
| 92551 |
|
11,813 |
7,015 |
$5K |
| 99381 |
|
111 |
87 |
$4K |
| 90707 |
|
4,150 |
2,666 |
$4K |
| 85018 |
|
5,059 |
3,431 |
$4K |
| 90633 |
|
4,548 |
2,965 |
$4K |
| 99170 |
|
84 |
72 |
$4K |
| 99215 |
Prolong outpt/office vis |
80 |
50 |
$3K |
| 90474 |
|
452 |
403 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
108 |
108 |
$3K |
| 99358 |
Prolong nursin fac eval 15m |
68 |
29 |
$3K |
| 0072A |
|
117 |
78 |
$3K |
| 0071A |
|
126 |
82 |
$3K |
| 99463 |
|
24 |
24 |
$2K |
| 90696 |
|
1,169 |
684 |
$2K |
| 80061 |
Lipid panel |
1,045 |
794 |
$2K |
| 93000 |
|
287 |
248 |
$2K |
| 99051 |
|
589 |
442 |
$1K |
| 99383 |
|
14 |
13 |
$1K |
| 87280 |
|
449 |
169 |
$1K |
| 96160 |
|
3,506 |
2,988 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
97 |
81 |
$961.67 |
| 90723 |
|
8,342 |
5,436 |
$922.67 |
| 90700 |
|
1,415 |
890 |
$851.38 |
| 87807 |
|
199 |
141 |
$725.46 |
| 90651 |
|
1,061 |
604 |
$611.49 |
| S9470 |
Nutritional counseling, dietitian visit |
848 |
785 |
$402.80 |
| 17110 |
|
15 |
14 |
$400.62 |
| 99173 |
|
11,613 |
6,855 |
$345.09 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$331.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
52 |
$300.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
14 |
$233.60 |
| 90734 |
|
756 |
444 |
$207.57 |
| 99174 |
|
207 |
177 |
$143.19 |
| 92567 |
|
14 |
13 |
$103.09 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
22 |
13 |
$96.70 |
| 90715 |
|
341 |
189 |
$82.78 |
| 81002 |
|
25 |
20 |
$35.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
25 |
13 |
$11.01 |
| 96127 |
|
190 |
173 |
$9.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
34 |
$1.91 |
| S9449 |
Weight management classes, non-physician provider, per session |
122 |
101 |
$0.00 |
| 99001 |
|
65 |
61 |
$0.00 |
| A4550 |
Surgical trays |
58 |
18 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
323 |
237 |
$0.00 |
| 91307 |
|
288 |
131 |
$0.00 |
| 3008F |
|
2,168 |
1,789 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |