| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,750 |
45,106 |
$3.55M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,888 |
4,820 |
$415K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,016 |
4,852 |
$387K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,995 |
14,309 |
$337K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,862 |
3,837 |
$322K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,012 |
2,979 |
$269K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,542 |
2,417 |
$95K |
| 90461 |
|
5,374 |
5,197 |
$83K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,510 |
3,352 |
$54K |
| 90671 |
|
836 |
766 |
$54K |
| 90619 |
|
528 |
513 |
$51K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
715 |
682 |
$37K |
| 90670 |
|
1,730 |
1,674 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,303 |
3,240 |
$28K |
| 99460 |
|
462 |
444 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,232 |
2,163 |
$25K |
| 90651 |
|
449 |
409 |
$21K |
| 90716 |
|
803 |
758 |
$21K |
| 90710 |
|
391 |
379 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
532 |
526 |
$19K |
| 90734 |
|
418 |
405 |
$17K |
| 90686 |
|
3,114 |
2,999 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,205 |
1,179 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,411 |
1,386 |
$14K |
| 97802 |
|
3,382 |
3,206 |
$14K |
| 87070 |
|
1,861 |
1,800 |
$14K |
| 99462 |
|
487 |
367 |
$13K |
| 90633 |
|
1,939 |
1,852 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
515 |
498 |
$10K |
| 90700 |
|
1,480 |
1,437 |
$10K |
| 90698 |
|
1,065 |
1,026 |
$9K |
| 99173 |
|
6,741 |
6,399 |
$9K |
| 90680 |
|
1,393 |
1,351 |
$8K |
| 90707 |
|
450 |
433 |
$8K |
| 90713 |
|
659 |
645 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
71 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
446 |
418 |
$5K |
| 99381 |
|
74 |
73 |
$5K |
| 85018 |
|
2,757 |
2,707 |
$5K |
| 83655 |
|
1,400 |
1,326 |
$5K |
| 90715 |
|
447 |
415 |
$5K |
| 90744 |
|
1,411 |
1,362 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
46 |
$4K |
| 90649 |
|
63 |
63 |
$3K |
| 99464 |
|
62 |
53 |
$3K |
| 94664 |
|
499 |
471 |
$3K |
| 94760 |
|
10,992 |
9,796 |
$3K |
| 94644 |
|
58 |
58 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 99000 |
|
3,379 |
3,276 |
$700.37 |
| 90647 |
|
592 |
567 |
$605.44 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$599.54 |
| 90644 |
|
169 |
168 |
$556.16 |
| 90656 |
|
86 |
86 |
$400.12 |
| 81002 |
|
585 |
559 |
$389.14 |
| 99051 |
|
665 |
658 |
$315.68 |
| 36416 |
|
2,079 |
1,971 |
$197.47 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
176 |
156 |
$177.40 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
224 |
203 |
$104.00 |
| 86580 |
|
12 |
12 |
$85.06 |
| 3074F |
|
5,366 |
5,074 |
$66.00 |
| 3078F |
|
5,350 |
5,066 |
$64.00 |
| 90655 |
|
17 |
17 |
$46.29 |
| 90648 |
|
54 |
48 |
$35.26 |
| 90657 |
|
16 |
16 |
$30.79 |
| 96160 |
|
1,044 |
947 |
$22.14 |
| 90473 |
|
13 |
13 |
$14.55 |
| 81003 |
|
13 |
13 |
$6.47 |
| 90696 |
|
167 |
162 |
$0.00 |
| J7612 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg |
76 |
72 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
630 |
622 |
$0.00 |