| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,933 |
17,428 |
$1.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,111 |
22,120 |
$1.54M |
| 99199 |
Unlisted special service, procedure or report |
230,454 |
116,925 |
$1.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,377 |
4,110 |
$407K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,972 |
3,548 |
$353K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,730 |
3,561 |
$345K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22,498 |
9,676 |
$274K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,269 |
6,658 |
$259K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,496 |
12,374 |
$254K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,865 |
6,442 |
$253K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,177 |
2,086 |
$218K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,439 |
1,984 |
$200K |
| 87428 |
|
3,269 |
3,067 |
$186K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,787 |
7,975 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,643 |
2,496 |
$101K |
| 99215 |
Prolong outpt/office vis |
759 |
711 |
$97K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,974 |
8,347 |
$84K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,445 |
1,911 |
$70K |
| 96127 |
|
9,554 |
8,870 |
$39K |
| D1206 |
Topical application of fluoride varnish |
2,445 |
1,912 |
$31K |
| 87807 |
|
2,462 |
2,027 |
$30K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
389 |
341 |
$26K |
| 90791 |
Psychiatric diagnostic evaluation |
232 |
213 |
$23K |
| 90474 |
|
889 |
782 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
309 |
265 |
$14K |
| 92551 |
|
8,321 |
7,955 |
$11K |
| 90686 |
|
3,811 |
3,552 |
$5K |
| 90651 |
|
361 |
349 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
144 |
125 |
$5K |
| 99173 |
|
8,912 |
8,507 |
$5K |
| 0072A |
|
64 |
62 |
$4K |
| 90734 |
|
392 |
369 |
$4K |
| 83655 |
|
274 |
234 |
$3K |
| 99051 |
|
107 |
105 |
$3K |
| 0001A |
|
52 |
52 |
$2K |
| 0071A |
|
24 |
24 |
$2K |
| 99401 |
|
56 |
52 |
$1K |
| 85018 |
|
766 |
683 |
$1K |
| 90473 |
|
68 |
65 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 99384 |
|
15 |
15 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
108 |
102 |
$1K |
| 90670 |
|
2,585 |
2,366 |
$1K |
| 98968 |
|
48 |
24 |
$1K |
| 99441 |
|
30 |
29 |
$870.25 |
| 81002 |
|
336 |
298 |
$822.53 |
| 96161 |
|
281 |
213 |
$814.61 |
| 90656 |
|
476 |
461 |
$679.54 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
28 |
$630.81 |
| 90680 |
|
1,091 |
975 |
$571.05 |
| 90620 |
|
13 |
13 |
$397.65 |
| 90672 |
|
174 |
163 |
$381.97 |
| 87809 |
|
46 |
24 |
$366.44 |
| 90647 |
|
924 |
864 |
$354.44 |
| 90715 |
|
76 |
71 |
$344.17 |
| 90723 |
|
877 |
817 |
$274.59 |
| 90716 |
|
441 |
401 |
$253.57 |
| 90707 |
|
400 |
363 |
$207.37 |
| 90633 |
|
445 |
392 |
$160.67 |
| 90697 |
|
459 |
390 |
$127.19 |
| 91300 |
|
68 |
40 |
$65.00 |
| 90655 |
|
30 |
29 |
$48.16 |
| 90677 |
|
147 |
146 |
$45.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
34 |
31 |
$38.91 |
| 90696 |
|
28 |
12 |
$23.10 |
| 91307 |
|
241 |
230 |
$0.28 |
| 3074F |
|
954 |
897 |
$0.00 |
| 3078F |
|
944 |
889 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 91308 |
|
14 |
12 |
$0.00 |