| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75,868 |
59,946 |
$7.12M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24,876 |
23,309 |
$1.45M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,120 |
10,053 |
$1.08M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31,286 |
29,601 |
$1.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,894 |
7,218 |
$1.04M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,966 |
7,868 |
$845K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,057 |
5,039 |
$605K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,353 |
5,128 |
$531K |
| 92552 |
|
11,977 |
11,914 |
$405K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,734 |
8,609 |
$223K |
| 90461 |
|
7,036 |
6,892 |
$162K |
| 99188 |
|
6,017 |
5,969 |
$118K |
| 99051 |
|
16,264 |
14,730 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
674 |
665 |
$79K |
| 97802 |
|
23,180 |
22,826 |
$76K |
| S9451 |
Exercise classes, non-physician provider, per session |
20,721 |
20,424 |
$73K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
440 |
437 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
544 |
543 |
$68K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,876 |
6,848 |
$63K |
| 92587 |
|
2,733 |
2,715 |
$58K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,675 |
12,260 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
340 |
339 |
$46K |
| 0072A |
|
1,051 |
1,049 |
$43K |
| 86580 |
|
4,437 |
4,388 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,047 |
4,964 |
$33K |
| 0071A |
|
796 |
795 |
$33K |
| 83655 |
|
2,743 |
2,706 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,389 |
1,327 |
$31K |
| 0002A |
|
484 |
484 |
$21K |
| 85018 |
|
9,733 |
9,656 |
$20K |
| 0001A |
|
469 |
466 |
$20K |
| 96160 |
|
7,020 |
6,909 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,215 |
1,194 |
$18K |
| S9470 |
Nutritional counseling, dietitian visit |
2,470 |
2,413 |
$18K |
| 90672 |
|
6,529 |
6,485 |
$16K |
| 90686 |
|
8,329 |
8,145 |
$16K |
| 99401 |
|
708 |
701 |
$14K |
| 0074A |
|
356 |
351 |
$13K |
| 90682 |
|
180 |
177 |
$11K |
| 92551 |
|
924 |
907 |
$10K |
| 0054A |
|
244 |
243 |
$10K |
| 99215 |
Prolong outpt/office vis |
61 |
61 |
$10K |
| 0013A |
|
224 |
224 |
$10K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,268 |
1,199 |
$9K |
| 0012A |
|
204 |
204 |
$9K |
| 0011A |
|
214 |
214 |
$8K |
| 0154A |
|
186 |
186 |
$7K |
| 0111A |
|
191 |
180 |
$7K |
| 0003A |
|
156 |
156 |
$7K |
| 0112A |
|
143 |
142 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
210 |
202 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
379 |
368 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
257 |
237 |
$5K |
| 94664 |
|
257 |
237 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
9,015 |
8,864 |
$4K |
| 99460 |
|
40 |
40 |
$3K |
| 99173 |
|
3,217 |
3,143 |
$3K |
| 90474 |
|
257 |
254 |
$3K |
| 0124A |
|
76 |
76 |
$3K |
| 99177 |
|
9,580 |
9,541 |
$3K |
| 0173A |
|
71 |
67 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
38 |
$3K |
| 0081A |
|
59 |
59 |
$2K |
| 96127 |
|
905 |
842 |
$2K |
| 83014 |
|
305 |
299 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
22 |
$2K |
| 90670 |
|
3,133 |
3,066 |
$2K |
| 90677 |
|
97 |
97 |
$2K |
| 90480 |
|
48 |
47 |
$2K |
| 90671 |
|
93 |
93 |
$2K |
| 96161 |
|
5,024 |
4,775 |
$1K |
| 82274 |
|
139 |
139 |
$1K |
| 99462 |
|
35 |
28 |
$1K |
| 0082A |
|
33 |
33 |
$1K |
| 90660 |
|
542 |
541 |
$1K |
| 90656 |
|
292 |
291 |
$1K |
| 0134A |
|
25 |
24 |
$1K |
| 0164A |
|
22 |
22 |
$890.02 |
| 90619 |
|
219 |
218 |
$760.00 |
| 0073A |
|
20 |
20 |
$754.90 |
| 36410 |
|
186 |
184 |
$601.47 |
| 90713 |
|
4,027 |
3,947 |
$590.00 |
| 90744 |
|
3,979 |
3,904 |
$552.60 |
| 90715 |
|
1,427 |
1,409 |
$531.83 |
| 90700 |
|
4,808 |
4,706 |
$525.00 |
| 90651 |
|
3,005 |
2,956 |
$506.26 |
| 90734 |
|
1,709 |
1,691 |
$370.00 |
| 90647 |
|
3,262 |
3,203 |
$335.00 |
| 90620 |
|
1,058 |
1,047 |
$329.17 |
| 90716 |
|
2,215 |
2,179 |
$319.00 |
| 81002 |
|
104 |
101 |
$305.08 |
| 90685 |
|
787 |
769 |
$301.07 |
| 90707 |
|
2,459 |
2,416 |
$245.00 |
| 90680 |
|
2,457 |
2,400 |
$240.00 |
| 91307 |
|
2,174 |
1,988 |
$229.39 |
| 90633 |
|
1,963 |
1,936 |
$222.00 |
| 90473 |
|
12 |
12 |
$180.00 |
| 36406 |
|
71 |
71 |
$167.22 |
| 88738 |
|
398 |
398 |
$154.04 |
| 90648 |
|
231 |
226 |
$105.00 |
| 3074F |
|
5,156 |
5,135 |
$80.00 |
| 3078F |
|
5,155 |
5,134 |
$80.00 |
| 99174 |
|
826 |
812 |
$75.86 |
| 91305 |
|
275 |
271 |
$64.57 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15,103 |
15,002 |
$47.25 |
| 91311 |
|
353 |
338 |
$45.36 |
| 91315 |
|
191 |
191 |
$35.48 |
| 90674 |
|
21 |
21 |
$20.00 |
| 94760 |
|
254 |
225 |
$18.84 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
239 |
211 |
$15.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
452 |
433 |
$14.02 |
| 91312 |
|
72 |
72 |
$13.60 |
| 91317 |
|
72 |
68 |
$13.40 |
| 91300 |
|
1,136 |
1,025 |
$11.52 |
| 91321 |
|
12 |
12 |
$7.00 |
| H0033 |
Oral medication administration, direct observation |
610 |
595 |
$6.54 |
| 91316 |
|
20 |
20 |
$3.60 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
163 |
159 |
$2.88 |
| A9150 |
Non-prescription drugs |
206 |
203 |
$2.25 |
| 91308 |
|
196 |
195 |
$1.73 |
| J7627 |
Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg |
213 |
189 |
$0.16 |
| 99000 |
|
11,479 |
11,148 |
$0.00 |
| 36416 |
|
10,643 |
10,552 |
$0.00 |
| 91301 |
|
672 |
650 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
85 |
84 |
$0.00 |
| 80329 |
|
194 |
185 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,317 |
1,294 |
$0.00 |
| 91313 |
|
25 |
24 |
$0.00 |
| 3725F |
|
450 |
420 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
13 |
12 |
$0.00 |