| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148,260 |
120,708 |
$3.23M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,075 |
14,943 |
$1.12M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,881 |
12,791 |
$1.01M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,930 |
8,863 |
$747K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49,680 |
44,647 |
$738K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73,385 |
28,190 |
$712K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,631 |
9,446 |
$701K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,852 |
15,121 |
$495K |
| 99381 |
|
2,162 |
2,134 |
$170K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,126 |
4,971 |
$156K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18,777 |
9,140 |
$153K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18,182 |
12,917 |
$145K |
| S8301 |
Infection control supplies, not otherwise specified |
9,860 |
9,175 |
$126K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15,367 |
14,403 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,629 |
2,600 |
$95K |
| 90461 |
|
14,475 |
11,540 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,260 |
1,751 |
$75K |
| 99050 |
|
4,743 |
4,405 |
$64K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,136 |
7,004 |
$59K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,776 |
1,754 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
520 |
505 |
$41K |
| 99051 |
|
8,214 |
7,724 |
$34K |
| 99383 |
|
365 |
363 |
$31K |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
17,004 |
16,830 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,437 |
2,417 |
$20K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,496 |
1,476 |
$18K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
5,252 |
5,108 |
$18K |
| 94060 |
|
708 |
704 |
$17K |
| 96160 |
|
8,524 |
8,441 |
$17K |
| 99382 |
|
165 |
165 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,570 |
2,513 |
$12K |
| 99384 |
|
117 |
116 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,101 |
1,094 |
$9K |
| 86580 |
|
1,262 |
1,252 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
9,611 |
8,970 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
84 |
$3K |
| 97169 |
|
110 |
106 |
$2K |
| 84030 |
|
601 |
587 |
$1K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
729 |
718 |
$982.15 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
642 |
635 |
$974.22 |
| 87420 |
|
139 |
133 |
$595.68 |
| 84035 |
|
669 |
661 |
$536.48 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
81 |
80 |
$313.19 |
| 90686 |
|
6,618 |
6,568 |
$159.95 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
651 |
626 |
$139.90 |
| 94760 |
|
2,620 |
2,539 |
$81.30 |
| 90620 |
|
2,608 |
2,579 |
$16.35 |
| 90619 |
|
2,097 |
2,083 |
$12.98 |
| 90671 |
|
2,624 |
2,587 |
$2.19 |
| 90651 |
|
4,893 |
4,853 |
$1.45 |
| 90715 |
|
2,368 |
2,347 |
$0.20 |
| 90734 |
|
1,950 |
1,932 |
$0.01 |
| 3074F |
|
5,248 |
5,233 |
$0.00 |
| 90698 |
|
3,612 |
3,580 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,497 |
6,470 |
$0.00 |
| 90716 |
|
799 |
795 |
$0.00 |
| 90696 |
|
2,825 |
2,802 |
$0.00 |
| 90680 |
|
5,654 |
5,601 |
$0.00 |
| 90697 |
|
2,635 |
2,611 |
$0.00 |
| 96127 |
|
747 |
736 |
$0.00 |
| 90744 |
|
2,359 |
2,334 |
$0.00 |
| 90723 |
|
1,004 |
1,002 |
$0.00 |
| 90710 |
|
4,788 |
4,742 |
$0.00 |
| 90670 |
|
7,071 |
7,018 |
$0.00 |
| 90700 |
|
2,419 |
2,404 |
$0.00 |
| 90633 |
|
5,877 |
5,834 |
$0.00 |
| 90648 |
|
3,070 |
3,052 |
$0.00 |
| 90707 |
|
773 |
770 |
$0.00 |
| 98960 |
|
189 |
184 |
$0.00 |
| 3078F |
|
5,242 |
5,227 |
$0.00 |
| 94664 |
|
32 |
32 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |