| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,322 |
37,180 |
$4.71M |
| D0190 |
|
46,967 |
37,818 |
$712K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,448 |
7,351 |
$631K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,336 |
5,653 |
$528K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,009 |
6,384 |
$505K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,053 |
4,034 |
$338K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,787 |
2,778 |
$335K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,298 |
9,569 |
$294K |
| 99215 |
Prolong outpt/office vis |
2,787 |
2,593 |
$287K |
| 87631 |
|
2,614 |
2,389 |
$281K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,924 |
10,467 |
$248K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,430 |
7,476 |
$211K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,563 |
1,549 |
$137K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,721 |
11,605 |
$126K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,287 |
8,878 |
$126K |
| 99401 |
|
18,461 |
16,329 |
$111K |
| 99381 |
|
1,080 |
1,077 |
$97K |
| 99205 |
Prolong outpt/office vis |
669 |
666 |
$89K |
| 92551 |
|
8,675 |
8,597 |
$61K |
| 87807 |
|
4,358 |
4,028 |
$43K |
| 97803 |
|
21,450 |
18,192 |
$38K |
| 99383 |
|
371 |
368 |
$36K |
| 99051 |
|
17,615 |
15,463 |
$35K |
| 99382 |
|
325 |
325 |
$32K |
| 69210 |
|
825 |
814 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
131 |
121 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,393 |
1,268 |
$9K |
| 97802 |
|
2,282 |
2,244 |
$9K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
10,376 |
10,053 |
$9K |
| 99174 |
|
4,278 |
4,255 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
841 |
805 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,498 |
8,213 |
$7K |
| 17250 |
|
70 |
65 |
$4K |
| 86328 |
|
109 |
109 |
$4K |
| 99384 |
|
30 |
30 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
83 |
81 |
$3K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
8,628 |
8,345 |
$2K |
| 83655 |
|
131 |
131 |
$2K |
| 87428 |
|
69 |
69 |
$2K |
| 81002 |
|
626 |
596 |
$2K |
| 99050 |
|
273 |
251 |
$1K |
| 54450 |
|
31 |
28 |
$1K |
| 17110 |
|
14 |
12 |
$982.88 |
| 98966 |
|
269 |
264 |
$866.33 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
106 |
106 |
$835.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
610 |
586 |
$621.37 |
| 36416 |
|
93 |
91 |
$507.92 |
| 96127 |
|
150 |
140 |
$433.83 |
| 94664 |
|
38 |
36 |
$273.50 |
| 99406 |
|
24 |
21 |
$208.81 |
| 99000 |
|
28 |
28 |
$196.85 |
| 99177 |
|
41 |
41 |
$98.70 |
| 81025 |
|
12 |
12 |
$82.00 |
| 82150 |
|
14 |
14 |
$79.77 |
| 90686 |
|
969 |
966 |
$40.14 |
| 99072 |
|
14,457 |
10,586 |
$18.00 |
| 90707 |
|
685 |
685 |
$0.00 |
| 1032F |
|
4,898 |
3,938 |
$0.00 |
| 4025F |
|
10,189 |
7,374 |
$0.00 |
| 1033F |
|
44,683 |
33,216 |
$0.00 |
| 90710 |
|
732 |
730 |
$0.00 |
| 90633 |
|
1,751 |
1,743 |
$0.00 |
| 99173 |
|
2,333 |
2,311 |
$0.00 |
| 90670 |
|
2,680 |
2,669 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
34 |
32 |
$0.00 |
| 1159F |
|
53,712 |
40,268 |
$0.00 |
| 4040F |
|
44,679 |
33,982 |
$0.00 |
| 1160F |
|
53,740 |
40,286 |
$0.00 |
| 3210F |
|
1,898 |
1,805 |
$0.00 |
| 90700 |
|
910 |
908 |
$0.00 |
| 90734 |
|
97 |
97 |
$0.00 |
| 90461 |
|
622 |
618 |
$0.00 |
| 3078F |
|
461 |
441 |
$0.00 |
| 3725F |
|
745 |
739 |
$0.00 |
| 90648 |
|
59 |
58 |
$0.00 |
| 90715 |
|
194 |
194 |
$0.00 |
| 3023F |
|
34 |
32 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
30 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
12 |
12 |
$0.00 |
| 1111F |
|
17,094 |
14,051 |
$0.00 |
| 90651 |
|
389 |
388 |
$0.00 |
| 4140F |
|
2,850 |
2,100 |
$0.00 |
| 90698 |
|
2,541 |
2,524 |
$0.00 |
| 90647 |
|
762 |
760 |
$0.00 |
| 1036F |
|
6,447 |
5,244 |
$0.00 |
| 90680 |
|
2,148 |
2,134 |
$0.00 |
| 4037F |
|
2,250 |
2,130 |
$0.00 |
| 90744 |
|
1,875 |
1,861 |
$0.00 |
| 1000F |
|
6,726 |
5,472 |
$0.00 |
| 90696 |
|
532 |
531 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
411 |
409 |
$0.00 |
| 1031F |
|
57,579 |
42,742 |
$0.00 |
| 90619 |
|
249 |
249 |
$0.00 |
| 90716 |
|
629 |
629 |
$0.00 |
| 3044F |
|
1,289 |
902 |
$0.00 |
| 90677 |
|
783 |
776 |
$0.00 |
| 3074F |
|
464 |
445 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 98967 |
|
12 |
12 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
119 |
118 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
133 |
119 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |
| 36410 |
|
51 |
51 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
35 |
34 |
$0.00 |
| 90620 |
|
17 |
17 |
$0.00 |
| 94760 |
|
16 |
16 |
$0.00 |