| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50,895 |
44,660 |
$4.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76,450 |
64,548 |
$4.52M |
| 99199 |
Unlisted special service, procedure or report |
734,244 |
431,523 |
$4.40M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21,760 |
19,163 |
$1.85M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20,324 |
18,178 |
$1.79M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,800 |
13,393 |
$1.30M |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32,955 |
29,780 |
$1.16M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47,232 |
42,699 |
$928K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,490 |
8,474 |
$902K |
| D0145 |
Oral evaluation for a patient under three years of age |
15,849 |
14,192 |
$540K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,485 |
3,268 |
$452K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29,750 |
26,212 |
$283K |
| D1206 |
Topical application of fluoride varnish |
15,367 |
13,776 |
$229K |
| 90474 |
|
11,286 |
10,207 |
$222K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,378 |
6,673 |
$194K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,365 |
14,440 |
$145K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,748 |
1,638 |
$101K |
| 99051 |
|
3,765 |
3,408 |
$93K |
| 90651 |
|
4,327 |
3,843 |
$92K |
| 83655 |
|
5,699 |
5,179 |
$77K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,651 |
5,073 |
$76K |
| 99401 |
|
1,992 |
1,819 |
$67K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,310 |
2,193 |
$65K |
| 96161 |
|
13,663 |
11,928 |
$47K |
| 71046 |
Radiologic examination, chest; 2 views |
1,938 |
1,716 |
$44K |
| 99460 |
|
626 |
592 |
$42K |
| 92551 |
|
24,442 |
22,276 |
$41K |
| 96127 |
|
9,713 |
8,579 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,112 |
938 |
$40K |
| 90734 |
|
2,101 |
1,899 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
317 |
286 |
$28K |
| 80053 |
Comprehensive metabolic panel |
2,383 |
2,093 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
6,960 |
6,069 |
$18K |
| 90620 |
|
945 |
821 |
$17K |
| 94760 |
|
33,689 |
29,494 |
$13K |
| 99173 |
|
20,997 |
19,415 |
$12K |
| 87807 |
|
845 |
738 |
$11K |
| 80061 |
Lipid panel |
620 |
562 |
$10K |
| 90619 |
|
1,354 |
1,169 |
$6K |
| 90715 |
|
1,160 |
1,016 |
$5K |
| 81001 |
|
1,418 |
1,282 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
491 |
453 |
$5K |
| 99177 |
|
10,870 |
9,356 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
24 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
213 |
177 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
125 |
121 |
$3K |
| 69210 |
|
55 |
54 |
$2K |
| 96380 |
|
131 |
104 |
$2K |
| 90686 |
|
4,589 |
4,132 |
$2K |
| 99462 |
|
44 |
37 |
$1K |
| 90688 |
|
423 |
402 |
$1K |
| 99070 |
|
77 |
76 |
$679.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
155 |
131 |
$635.98 |
| 90633 |
|
7,565 |
6,751 |
$587.40 |
| 90677 |
|
1,634 |
1,594 |
$572.43 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
335 |
302 |
$538.20 |
| 81003 |
|
133 |
109 |
$303.61 |
| 74018 |
|
12 |
12 |
$267.48 |
| 90671 |
|
1,719 |
1,557 |
$221.80 |
| 94761 |
|
418 |
382 |
$205.40 |
| 90710 |
|
1,208 |
1,057 |
$205.39 |
| 36416 |
|
10,589 |
9,071 |
$181.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$143.64 |
| 82247 |
|
16 |
14 |
$99.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46 |
28 |
$81.80 |
| 86308 |
|
13 |
12 |
$76.56 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
366 |
338 |
$40.73 |
| 90744 |
|
8,698 |
7,790 |
$26.08 |
| 90680 |
|
11,511 |
10,386 |
$0.00 |
| 90698 |
|
13,599 |
12,239 |
$0.00 |
| 90716 |
|
1,431 |
1,247 |
$0.00 |
| 90647 |
|
1,000 |
881 |
$0.00 |
| 99000 |
|
81 |
67 |
$0.00 |
| 90696 |
|
1,039 |
907 |
$0.00 |
| 90656 |
|
710 |
692 |
$0.00 |
| 87081 |
|
274 |
270 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
36 |
34 |
$0.00 |
| 90381 |
|
22 |
14 |
$0.00 |
| 90707 |
|
1,429 |
1,248 |
$0.00 |
| 90670 |
|
14,432 |
12,809 |
$0.00 |
| 99072 |
|
7,254 |
6,581 |
$0.00 |
| 90700 |
|
1,304 |
1,171 |
$0.00 |
| 90687 |
|
63 |
60 |
$0.00 |
| 90685 |
|
70 |
69 |
$0.00 |
| 90380 |
|
27 |
18 |
$0.00 |