| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,447 |
27,523 |
$2.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,990 |
14,114 |
$1.83M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,823 |
3,660 |
$529K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,873 |
3,699 |
$466K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,558 |
12,806 |
$447K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,179 |
1,915 |
$253K |
| 96127 |
|
9,921 |
8,960 |
$251K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,712 |
1,609 |
$213K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,209 |
4,822 |
$119K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,620 |
2,450 |
$95K |
| 96161 |
|
4,062 |
3,813 |
$82K |
| 99177 |
|
3,762 |
3,599 |
$69K |
| 92552 |
|
5,861 |
5,594 |
$69K |
| 99188 |
|
3,065 |
2,925 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,977 |
3,155 |
$63K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,026 |
1,864 |
$60K |
| 96160 |
|
2,884 |
2,709 |
$58K |
| 99215 |
Prolong outpt/office vis |
369 |
329 |
$55K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,210 |
1,056 |
$53K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
496 |
475 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
595 |
564 |
$29K |
| 36416 |
|
8,819 |
8,379 |
$28K |
| 99173 |
|
3,962 |
3,783 |
$27K |
| 85013 |
|
8,558 |
8,179 |
$18K |
| D0145 |
Oral evaluation for a patient under three years of age |
618 |
606 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
952 |
904 |
$10K |
| 87634 |
|
122 |
119 |
$8K |
| 99051 |
|
761 |
733 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
267 |
257 |
$6K |
| 99401 |
|
68 |
66 |
$2K |
| 90686 |
|
6,229 |
5,960 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
120 |
102 |
$1K |
| 83655 |
|
109 |
98 |
$1K |
| 83718 |
|
130 |
128 |
$1K |
| 94010 |
|
39 |
38 |
$820.42 |
| 36415 |
Collection of venous blood by venipuncture |
231 |
212 |
$679.46 |
| 82465 |
|
130 |
128 |
$531.20 |
| 99442 |
|
12 |
12 |
$515.16 |
| 99050 |
|
32 |
32 |
$514.56 |
| 94760 |
|
362 |
292 |
$510.86 |
| 94664 |
|
36 |
34 |
$312.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$262.80 |
| 87807 |
|
16 |
15 |
$154.65 |
| 90715 |
|
13 |
13 |
$108.48 |
| 94761 |
|
16 |
13 |
$51.20 |
| 85018 |
|
8,565 |
8,187 |
$22.37 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
50 |
39 |
$2.86 |
| 90671 |
|
24 |
24 |
$0.12 |
| 90670 |
|
853 |
811 |
$0.01 |
| 90674 |
|
23 |
23 |
$0.00 |
| A9150 |
Non-prescription drugs |
607 |
554 |
$0.00 |
| 90651 |
|
260 |
248 |
$0.00 |
| 90744 |
|
76 |
66 |
$0.00 |
| 90698 |
|
330 |
315 |
$0.00 |
| 90620 |
|
40 |
39 |
$0.00 |
| 90697 |
|
77 |
66 |
$0.00 |
| 90685 |
|
198 |
197 |
$0.00 |
| 90461 |
|
1,570 |
1,466 |
$0.00 |
| 81002 |
|
44 |
40 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
111 |
103 |
$0.00 |
| 90672 |
|
405 |
377 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
120 |
102 |
$0.00 |
| 90633 |
|
98 |
89 |
$0.00 |
| 90681 |
|
25 |
24 |
$0.00 |
| 90734 |
|
99 |
88 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
12 |
12 |
$0.00 |
| 91320 |
|
17 |
12 |
$0.00 |