| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,087 |
11,310 |
$817K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,762 |
16,439 |
$783K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,744 |
11,946 |
$546K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,574 |
5,730 |
$457K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,426 |
4,077 |
$279K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,644 |
3,109 |
$243K |
| 96160 |
|
14,341 |
12,090 |
$194K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,722 |
4,212 |
$131K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,078 |
877 |
$79K |
| 87428 |
|
1,074 |
1,018 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,296 |
1,992 |
$62K |
| 99177 |
|
9,812 |
8,441 |
$55K |
| 97802 |
|
6,141 |
5,064 |
$49K |
| 96127 |
|
11,339 |
7,287 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,421 |
3,131 |
$33K |
| 96161 |
|
2,396 |
2,194 |
$32K |
| 99381 |
|
444 |
392 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,350 |
1,266 |
$28K |
| 41010 |
|
312 |
221 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
406 |
350 |
$26K |
| 83655 |
|
1,750 |
1,406 |
$19K |
| 99174 |
|
3,056 |
2,506 |
$18K |
| 90710 |
|
1,158 |
980 |
$17K |
| 90670 |
|
4,135 |
3,728 |
$15K |
| 92558 |
|
2,754 |
2,377 |
$12K |
| 81002 |
|
5,096 |
4,194 |
$12K |
| 92551 |
|
1,511 |
1,227 |
$11K |
| 90686 |
|
3,824 |
3,231 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
75 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
160 |
107 |
$8K |
| 3008F |
|
4,900 |
3,999 |
$8K |
| 99383 |
|
92 |
80 |
$8K |
| 90651 |
|
393 |
330 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
509 |
344 |
$6K |
| 85018 |
|
2,396 |
1,976 |
$5K |
| 87807 |
|
502 |
446 |
$4K |
| 99215 |
Prolong outpt/office vis |
46 |
41 |
$4K |
| 36416 |
|
2,902 |
2,376 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
132 |
104 |
$4K |
| 90633 |
|
2,047 |
1,693 |
$4K |
| 90734 |
|
273 |
228 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
70 |
62 |
$3K |
| 40806 |
|
96 |
83 |
$3K |
| 99384 |
|
28 |
28 |
$3K |
| 90696 |
|
484 |
411 |
$2K |
| 90723 |
|
2,622 |
2,412 |
$2K |
| 69210 |
|
54 |
50 |
$2K |
| 0071A |
|
66 |
55 |
$2K |
| 0072A |
|
50 |
46 |
$2K |
| 99382 |
|
19 |
16 |
$2K |
| 90681 |
|
1,334 |
1,252 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
77 |
73 |
$1K |
| 17110 |
|
15 |
12 |
$884.72 |
| 90648 |
|
3,787 |
3,484 |
$875.93 |
| 90716 |
|
433 |
362 |
$649.88 |
| 36415 |
Collection of venous blood by venipuncture |
334 |
290 |
$629.44 |
| 90715 |
|
120 |
97 |
$476.92 |
| 90700 |
|
657 |
602 |
$466.08 |
| 90707 |
|
439 |
372 |
$376.12 |
| 97803 |
|
25 |
24 |
$242.33 |
| 90620 |
|
18 |
14 |
$160.75 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
464 |
312 |
$95.66 |
| 99051 |
|
43 |
36 |
$80.08 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
470 |
316 |
$48.06 |
| A7015 |
Aerosol mask, used with dme nebulizer |
462 |
311 |
$44.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
47 |
43 |
$41.50 |
| 99173 |
|
15 |
12 |
$41.00 |
| 90685 |
|
150 |
139 |
$24.78 |
| 81003 |
|
12 |
12 |
$20.70 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
31 |
28 |
$14.07 |
| 99188 |
|
390 |
324 |
$0.00 |
| 99072 |
|
580 |
515 |
$0.00 |
| 94760 |
|
45 |
43 |
$0.00 |
| 91307 |
|
147 |
126 |
$0.00 |
| 99070 |
|
66 |
58 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
74 |
73 |
$0.00 |