| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,753 |
28,349 |
$1.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,075 |
7,609 |
$489K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,438 |
10,890 |
$391K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,387 |
4,126 |
$228K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,946 |
3,840 |
$224K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,773 |
1,743 |
$99K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,482 |
2,329 |
$78K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,737 |
5,463 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
897 |
878 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,086 |
2,908 |
$44K |
| 87428 |
|
761 |
663 |
$21K |
| 99174 |
|
1,847 |
1,767 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,000 |
949 |
$17K |
| 96127 |
|
1,329 |
1,276 |
$8K |
| 36416 |
|
2,949 |
2,807 |
$7K |
| 83655 |
|
637 |
632 |
$7K |
| 87807 |
|
545 |
502 |
$5K |
| 99460 |
|
30 |
26 |
$2K |
| 96160 |
|
1,385 |
1,290 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
71 |
61 |
$2K |
| 85018 |
|
991 |
942 |
$2K |
| 90633 |
|
385 |
378 |
$1K |
| 3008F |
|
1,141 |
1,109 |
$1K |
| 90670 |
|
2,673 |
2,577 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
151 |
138 |
$1K |
| 99188 |
|
41 |
41 |
$645.75 |
| 87420 |
|
66 |
56 |
$637.99 |
| 85014 |
|
269 |
261 |
$610.95 |
| 90686 |
|
1,669 |
1,593 |
$429.62 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
37 |
$422.91 |
| 90651 |
|
154 |
143 |
$326.50 |
| 90698 |
|
1,183 |
1,139 |
$310.10 |
| 90685 |
|
565 |
554 |
$179.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$176.80 |
| 99441 |
|
14 |
13 |
$152.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$124.40 |
| 90680 |
|
1,246 |
1,206 |
$84.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
38 |
36 |
$83.62 |
| 90744 |
|
271 |
259 |
$52.50 |
| 96161 |
|
14 |
12 |
$43.20 |
| 99173 |
|
12 |
12 |
$27.24 |
| 90697 |
|
439 |
417 |
$0.00 |
| 90677 |
|
411 |
377 |
$0.00 |
| 94760 |
|
80 |
76 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90734 |
|
90 |
83 |
$0.00 |
| 99051 |
|
24 |
13 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$0.00 |
| 90621 |
|
18 |
16 |
$0.00 |