| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,988 |
12,272 |
$427K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,999 |
4,657 |
$201K |
| 87428 |
|
2,842 |
2,644 |
$167K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,204 |
1,962 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,556 |
1,457 |
$113K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,303 |
2,118 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
507 |
492 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,523 |
2,372 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,201 |
2,957 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,611 |
1,595 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
926 |
820 |
$22K |
| 90671 |
|
400 |
349 |
$21K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
281 |
270 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,006 |
708 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
412 |
380 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
564 |
551 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
833 |
404 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
116 |
$10K |
| 99460 |
|
123 |
113 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
139 |
124 |
$7K |
| 92551 |
|
822 |
767 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
747 |
675 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
106 |
101 |
$5K |
| 87807 |
|
446 |
426 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
293 |
280 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
56 |
$3K |
| 81002 |
|
1,109 |
730 |
$3K |
| 91320 |
|
20 |
20 |
$3K |
| 90474 |
|
258 |
225 |
$2K |
| 83655 |
|
254 |
217 |
$2K |
| 99381 |
|
27 |
25 |
$2K |
| 90688 |
|
196 |
186 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
220 |
184 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$1K |
| 87634 |
|
16 |
16 |
$884.55 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
14 |
$801.87 |
| 90461 |
|
805 |
489 |
$654.10 |
| 90480 |
|
20 |
20 |
$600.00 |
| 11721 |
|
157 |
153 |
$583.93 |
| 71046 |
Radiologic examination, chest; 2 views |
35 |
34 |
$570.54 |
| 85018 |
|
344 |
302 |
$553.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
68 |
62 |
$503.61 |
| 90677 |
|
289 |
261 |
$365.61 |
| 99201 |
|
14 |
14 |
$339.74 |
| 90686 |
|
802 |
774 |
$314.92 |
| 99307 |
|
35 |
26 |
$196.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$160.04 |
| 90682 |
|
71 |
69 |
$110.21 |
| 99000 |
|
24 |
14 |
$51.30 |
| 3074F |
|
1,424 |
1,236 |
$25.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
12 |
$1.56 |
| 3008F |
|
2,694 |
2,267 |
$0.01 |
| 90697 |
|
328 |
289 |
$0.00 |
| 90723 |
|
209 |
192 |
$0.00 |
| 36416 |
|
249 |
203 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
218 |
217 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 96127 |
|
261 |
145 |
$0.00 |
| 1036F |
|
124 |
65 |
$0.00 |
| 3079F |
|
32 |
30 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
28 |
$0.00 |
| 90698 |
|
170 |
149 |
$0.00 |
| 90696 |
|
44 |
41 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 1159F |
|
1,965 |
1,645 |
$0.00 |
| 1160F |
|
1,987 |
1,661 |
$0.00 |
| 90710 |
|
214 |
194 |
$0.00 |
| 99173 |
|
929 |
815 |
$0.00 |
| 3078F |
|
1,272 |
1,133 |
$0.00 |
| 90648 |
|
383 |
351 |
$0.00 |
| 90670 |
|
752 |
705 |
$0.00 |
| 90633 |
|
346 |
307 |
$0.00 |
| 90681 |
|
405 |
364 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 90700 |
|
54 |
46 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |