| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,274 |
31,863 |
$1.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,507 |
10,085 |
$795K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,312 |
14,893 |
$547K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,873 |
6,765 |
$543K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,097 |
6,873 |
$537K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,946 |
5,872 |
$472K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,573 |
3,513 |
$311K |
| 90461 |
|
8,449 |
7,866 |
$309K |
| 99177 |
|
9,255 |
9,020 |
$193K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,420 |
152 |
$157K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,515 |
3,461 |
$81K |
| 99381 |
|
935 |
913 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
956 |
929 |
$68K |
| 99188 |
|
3,070 |
3,006 |
$35K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
134 |
108 |
$33K |
| 96160 |
|
10,002 |
8,278 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,239 |
2,116 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
704 |
677 |
$20K |
| 92588 |
|
1,018 |
833 |
$15K |
| 99174 |
|
2,827 |
2,724 |
$12K |
| 17110 |
|
127 |
119 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
981 |
904 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
469 |
380 |
$10K |
| 96127 |
|
2,169 |
2,112 |
$9K |
| 83655 |
|
1,066 |
1,017 |
$9K |
| 0071A |
|
83 |
79 |
$6K |
| 0072A |
|
76 |
76 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
54 |
$6K |
| 99460 |
|
85 |
84 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
383 |
350 |
$5K |
| 69210 |
|
92 |
88 |
$4K |
| 99383 |
|
39 |
39 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$2K |
| 85018 |
|
1,170 |
1,115 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
113 |
95 |
$2K |
| 95117 |
|
203 |
95 |
$2K |
| 69209 |
|
83 |
79 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20 |
20 |
$1K |
| 81002 |
|
452 |
420 |
$1K |
| 90671 |
|
526 |
485 |
$1K |
| 99463 |
|
13 |
13 |
$968.96 |
| 99382 |
|
12 |
12 |
$934.60 |
| 17250 |
|
15 |
12 |
$846.55 |
| 95115 |
|
114 |
80 |
$812.02 |
| 95012 |
|
39 |
38 |
$623.82 |
| 90686 |
|
2,793 |
2,444 |
$559.36 |
| 90670 |
|
4,007 |
3,644 |
$540.68 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$496.56 |
| 90620 |
|
239 |
217 |
$480.00 |
| 81003 |
|
251 |
225 |
$349.89 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
27 |
$326.91 |
| 90474 |
|
18 |
18 |
$320.00 |
| 86580 |
|
55 |
49 |
$306.76 |
| 90723 |
|
1,399 |
1,342 |
$236.97 |
| 90648 |
|
1,833 |
1,754 |
$235.74 |
| 90680 |
|
2,237 |
2,111 |
$177.96 |
| 90734 |
|
1,051 |
834 |
$150.72 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
52 |
51 |
$67.61 |
| 90696 |
|
862 |
779 |
$61.72 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
43 |
41 |
$49.30 |
| 90651 |
|
1,159 |
978 |
$46.29 |
| 36416 |
|
1,336 |
1,112 |
$39.82 |
| 90633 |
|
2,642 |
2,307 |
$39.49 |
| 90700 |
|
338 |
315 |
$25.53 |
| 99499 |
|
4,487 |
4,100 |
$24.86 |
| 90710 |
|
2,526 |
2,208 |
$23.31 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.48 |
| 90672 |
|
110 |
99 |
$0.06 |
| 90707 |
|
32 |
26 |
$0.00 |
| 90687 |
|
103 |
93 |
$0.00 |
| 90715 |
|
388 |
329 |
$0.00 |
| 90685 |
|
106 |
94 |
$0.00 |
| 90621 |
|
56 |
38 |
$0.00 |
| 90681 |
|
38 |
38 |
$0.00 |
| 90744 |
|
1,028 |
945 |
$0.00 |
| 90698 |
|
2,183 |
2,035 |
$0.00 |
| 90619 |
|
132 |
105 |
$0.00 |
| 90697 |
|
409 |
368 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |
| 90716 |
|
32 |
26 |
$0.00 |