| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,923 |
34,534 |
$3.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,127 |
8,549 |
$1.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,376 |
9,172 |
$886K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,665 |
6,458 |
$614K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,268 |
5,142 |
$437K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,036 |
1,963 |
$200K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,642 |
17,129 |
$199K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,766 |
10,468 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,669 |
2,486 |
$121K |
| 99188 |
|
5,363 |
5,229 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,693 |
3,567 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,709 |
3,556 |
$34K |
| 69210 |
|
824 |
591 |
$27K |
| 87631 |
|
144 |
139 |
$24K |
| 87807 |
|
2,561 |
2,486 |
$21K |
| 0223U |
|
49 |
47 |
$20K |
| 83655 |
|
2,822 |
2,751 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,570 |
2,419 |
$16K |
| 99401 |
|
489 |
447 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,805 |
3,516 |
$14K |
| 92567 |
|
1,354 |
1,304 |
$12K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
129 |
116 |
$12K |
| 92587 |
|
892 |
852 |
$11K |
| 87486 |
|
266 |
249 |
$9K |
| 99381 |
|
91 |
85 |
$9K |
| 90686 |
|
2,167 |
2,122 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
193 |
190 |
$7K |
| 87581 |
|
266 |
248 |
$4K |
| 85018 |
|
3,251 |
3,168 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
240 |
237 |
$3K |
| 81003 |
|
1,531 |
1,412 |
$3K |
| 90670 |
|
4,384 |
4,297 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
219 |
203 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
275 |
252 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
262 |
246 |
$2K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
17 |
15 |
$2K |
| 96127 |
|
1,105 |
1,037 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 90707 |
|
1,893 |
1,823 |
$1K |
| 90716 |
|
1,893 |
1,827 |
$1K |
| 90647 |
|
3,838 |
3,729 |
$1K |
| 82947 |
|
268 |
260 |
$878.46 |
| 90651 |
|
553 |
531 |
$855.46 |
| 90680 |
|
1,576 |
1,558 |
$818.68 |
| 90723 |
|
3,607 |
3,544 |
$799.68 |
| 90633 |
|
2,067 |
2,022 |
$546.67 |
| 85027 |
|
52 |
46 |
$317.71 |
| 90685 |
|
52 |
52 |
$296.11 |
| 90671 |
|
983 |
947 |
$282.73 |
| S9451 |
Exercise classes, non-physician provider, per session |
8,178 |
7,087 |
$206.23 |
| 94010 |
|
15 |
14 |
$157.96 |
| 94664 |
|
27 |
26 |
$136.24 |
| 90734 |
|
295 |
283 |
$132.04 |
| 90715 |
|
60 |
60 |
$120.03 |
| 90696 |
|
268 |
253 |
$68.96 |
| 82272 |
|
13 |
12 |
$45.60 |
| 90700 |
|
248 |
229 |
$24.01 |
| 94760 |
|
1,273 |
1,155 |
$11.88 |
| 90674 |
|
173 |
172 |
$10.00 |
| 90656 |
|
62 |
61 |
$10.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
132 |
124 |
$0.26 |
| 90681 |
|
652 |
633 |
$0.00 |
| 99174 |
|
2,069 |
1,729 |
$0.00 |
| 3008F |
|
2,646 |
2,386 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 90620 |
|
55 |
50 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
50 |
50 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |