| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,948 |
53,470 |
$3.83M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,781 |
9,776 |
$994K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,912 |
10,410 |
$967K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,303 |
10,285 |
$552K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,443 |
5,441 |
$546K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,374 |
3,298 |
$351K |
| 90461 |
|
8,056 |
7,409 |
$243K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,218 |
11,204 |
$204K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,699 |
1,698 |
$190K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,973 |
4,939 |
$172K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,840 |
1,833 |
$167K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,628 |
3,550 |
$153K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,406 |
4,401 |
$93K |
| 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) |
2,852 |
2,766 |
$45K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
617 |
613 |
$39K |
| 90473 |
|
2,204 |
2,203 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,603 |
2,578 |
$37K |
| 99173 |
|
728 |
727 |
$19K |
| 99460 |
|
220 |
218 |
$18K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,761 |
1,758 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
420 |
419 |
$18K |
| 36416 |
|
5,641 |
5,204 |
$17K |
| 87631 |
|
119 |
118 |
$15K |
| 87081 |
|
1,563 |
1,550 |
$11K |
| 96127 |
|
1,584 |
1,582 |
$7K |
| 83655 |
|
229 |
229 |
$3K |
| 92551 |
|
203 |
203 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
362 |
358 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
363 |
362 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
32 |
32 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
81 |
76 |
$947.35 |
| 99462 |
|
16 |
14 |
$619.36 |
| 90686 |
|
8,489 |
8,478 |
$476.02 |
| 85014 |
|
136 |
136 |
$359.59 |
| 85018 |
|
136 |
136 |
$359.59 |
| 81000 |
|
98 |
96 |
$347.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$326.49 |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
68 |
67 |
$319.99 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$122.22 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$114.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
68 |
67 |
$105.74 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
347 |
344 |
$74.53 |
| 90672 |
|
1,607 |
1,607 |
$45.75 |
| 90670 |
|
5,943 |
5,942 |
$7.67 |
| 90633 |
|
1,190 |
1,189 |
$7.55 |
| 90734 |
|
126 |
126 |
$1.61 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
24 |
24 |
$0.94 |
| 90723 |
|
4,008 |
4,007 |
$0.11 |
| 90647 |
|
3,865 |
3,864 |
$0.10 |
| 90680 |
|
3,274 |
3,273 |
$0.08 |
| 90677 |
|
878 |
878 |
$0.02 |
| 84030 |
|
12 |
12 |
$0.01 |
| 90715 |
|
80 |
80 |
$0.00 |
| 90710 |
|
80 |
80 |
$0.00 |
| 90707 |
|
54 |
54 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 90656 |
|
383 |
383 |
$0.00 |
| 90660 |
|
145 |
145 |
$0.00 |
| 90651 |
|
324 |
324 |
$0.00 |
| 90619 |
|
102 |
102 |
$0.00 |
| 90696 |
|
68 |
68 |
$0.00 |
| 90688 |
|
52 |
52 |
$0.00 |
| 90716 |
|
54 |
54 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |