| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82,928 |
75,372 |
$4.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,056 |
17,451 |
$1.50M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20,860 |
18,383 |
$1.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,578 |
16,428 |
$1.27M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,880 |
8,557 |
$661K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,577 |
13,644 |
$493K |
| 90670 |
|
10,298 |
9,895 |
$267K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,008 |
2,891 |
$242K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19,081 |
8,728 |
$229K |
| 90700 |
|
17,811 |
16,523 |
$209K |
| 90677 |
|
2,106 |
1,756 |
$185K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,058 |
5,513 |
$164K |
| 90713 |
|
11,968 |
11,057 |
$149K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53,859 |
45,958 |
$147K |
| 90686 |
|
12,519 |
11,882 |
$133K |
| 90648 |
|
12,316 |
11,534 |
$128K |
| 90680 |
|
6,075 |
5,682 |
$117K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,682 |
8,852 |
$117K |
| 99173 |
|
29,599 |
28,062 |
$52K |
| 90651 |
|
1,207 |
1,158 |
$50K |
| 90744 |
|
3,968 |
3,570 |
$47K |
| 90716 |
|
1,838 |
1,725 |
$46K |
| 90619 |
|
696 |
666 |
$42K |
| 90633 |
|
2,632 |
2,446 |
$32K |
| 90707 |
|
1,739 |
1,647 |
$32K |
| 85014 |
|
14,278 |
13,460 |
$32K |
| 90461 |
|
24,720 |
21,292 |
$30K |
| 99381 |
|
398 |
346 |
$26K |
| 96161 |
|
26,726 |
20,387 |
$23K |
| 81002 |
|
5,769 |
5,438 |
$15K |
| 99177 |
|
4,536 |
4,131 |
$15K |
| 90656 |
|
932 |
907 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,572 |
1,408 |
$12K |
| 99188 |
|
598 |
567 |
$11K |
| 87807 |
|
764 |
687 |
$8K |
| 96127 |
|
4,341 |
4,129 |
$8K |
| 0071A |
|
150 |
148 |
$5K |
| 36416 |
|
20,480 |
18,793 |
$4K |
| 0072A |
|
125 |
122 |
$4K |
| 90480 |
|
199 |
162 |
$3K |
| 90734 |
|
153 |
151 |
$3K |
| 90715 |
|
176 |
172 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,256 |
2,158 |
$3K |
| 90380 |
|
22 |
16 |
$3K |
| 92551 |
|
255 |
248 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,211 |
2,090 |
$2K |
| 90621 |
|
44 |
43 |
$2K |
| 0001A |
|
34 |
34 |
$1K |
| 90688 |
|
62 |
62 |
$696.20 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
65 |
$617.83 |
| 0002A |
|
16 |
16 |
$486.00 |
| 87428 |
|
29 |
18 |
$485.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
32 |
$290.60 |
| 97802 |
|
481 |
473 |
$275.39 |
| 96380 |
|
14 |
14 |
$198.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
14 |
$124.32 |
| 99051 |
|
69 |
58 |
$115.03 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$10.20 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
60 |
49 |
$7.49 |
| 91307 |
|
600 |
566 |
$4.54 |
| 91300 |
|
175 |
165 |
$1.69 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
20 |
16 |
$0.89 |
| 91308 |
|
12 |
12 |
$0.02 |