| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,266 |
5,090 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,295 |
1,047 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,105 |
1,727 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
437 |
352 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,207 |
465 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
270 |
239 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
408 |
355 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,861 |
879 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
499 |
152 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
81 |
$6K |
| 94060 |
|
144 |
138 |
$6K |
| 90651 |
|
115 |
73 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
314 |
305 |
$5K |
| 90686 |
|
990 |
743 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
82 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
433 |
321 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
129 |
103 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
169 |
127 |
$2K |
| 99307 |
|
995 |
731 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
128 |
63 |
$2K |
| 90619 |
|
62 |
29 |
$1K |
| 99173 |
|
1,005 |
790 |
$1K |
| 90656 |
|
168 |
166 |
$1K |
| 96127 |
|
570 |
419 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
40 |
$1K |
| 86580 |
|
223 |
159 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
41 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
267 |
253 |
$1K |
| 90461 |
|
230 |
152 |
$948.81 |
| 92552 |
|
42 |
41 |
$875.93 |
| 90658 |
|
92 |
89 |
$666.37 |
| 93970 |
|
32 |
25 |
$614.39 |
| 90707 |
|
14 |
13 |
$442.60 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
142 |
76 |
$403.71 |
| 92587 |
|
148 |
124 |
$358.98 |
| 90670 |
|
13 |
13 |
$257.99 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
99 |
$222.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$160.89 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
177 |
159 |
$160.69 |
| 92551 |
|
25 |
22 |
$139.92 |
| 99051 |
|
47 |
45 |
$111.80 |
| 87430 |
|
35 |
27 |
$95.03 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$68.33 |
| 99490 |
Ccm add 20min |
31 |
25 |
$44.60 |
| 3074F |
|
75 |
72 |
$1.05 |
| 3078F |
|
75 |
71 |
$1.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |
| 99000 |
|
17 |
12 |
$0.00 |