| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88,008 |
79,342 |
$3.40M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,077 |
16,602 |
$929K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74,002 |
24,108 |
$826K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,036 |
7,954 |
$776K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,958 |
8,860 |
$749K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,187 |
8,129 |
$727K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,412 |
8,124 |
$676K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,570 |
6,417 |
$289K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,197 |
7,980 |
$225K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,013 |
12,553 |
$118K |
| 99381 |
|
1,209 |
1,187 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,723 |
6,605 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,252 |
1,239 |
$77K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
815 |
805 |
$75K |
| 90461 |
|
14,482 |
12,087 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,187 |
2,113 |
$56K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
339 |
337 |
$28K |
| 99460 |
|
290 |
288 |
$24K |
| 90734 |
|
3,611 |
3,568 |
$19K |
| 96160 |
|
8,710 |
8,618 |
$19K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,207 |
1,191 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,559 |
1,527 |
$14K |
| 99462 |
|
291 |
289 |
$12K |
| 90651 |
|
3,656 |
3,611 |
$10K |
| 0071A |
|
202 |
198 |
$7K |
| 99384 |
|
56 |
56 |
$6K |
| 0072A |
|
117 |
117 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
46 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
253 |
252 |
$4K |
| 99382 |
|
29 |
29 |
$3K |
| 90686 |
|
6,315 |
6,229 |
$2K |
| 97169 |
|
64 |
64 |
$2K |
| 99383 |
|
17 |
15 |
$1K |
| 90715 |
|
1,899 |
1,877 |
$954.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142 |
107 |
$891.92 |
| 90716 |
|
4,161 |
4,097 |
$377.09 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16,206 |
16,055 |
$90.00 |
| 90744 |
|
4,053 |
3,999 |
$87.82 |
| 90713 |
|
8,197 |
8,081 |
$69.00 |
| 90670 |
|
7,656 |
7,535 |
$47.00 |
| 90707 |
|
4,166 |
4,098 |
$47.00 |
| 90700 |
|
10,098 |
9,966 |
$39.42 |
| 90633 |
|
4,404 |
4,346 |
$33.00 |
| 90680 |
|
4,705 |
4,629 |
$26.00 |
| 90647 |
|
7,716 |
7,615 |
$20.87 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
216 |
215 |
$9.85 |
| 91307 |
|
417 |
378 |
$0.07 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
19 |
19 |
$0.00 |
| 96127 |
|
36 |
36 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90658 |
|
16 |
16 |
$0.00 |