| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,283 |
13,977 |
$2.20M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,632 |
6,031 |
$949K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,628 |
3,644 |
$540K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,768 |
3,180 |
$443K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,910 |
3,127 |
$419K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,224 |
1,176 |
$150K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
579 |
545 |
$77K |
| 99173 |
|
3,398 |
3,011 |
$58K |
| 96161 |
|
1,939 |
1,511 |
$54K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,719 |
2,255 |
$54K |
| 99381 |
|
425 |
319 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,468 |
1,226 |
$44K |
| 92551 |
|
2,896 |
2,566 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,304 |
1,801 |
$34K |
| T1015 |
Clinic visit/encounter, all-inclusive |
551 |
395 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,987 |
2,353 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,212 |
932 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
164 |
$20K |
| 59426 |
|
103 |
65 |
$15K |
| 99201 |
|
74 |
62 |
$10K |
| 59425 |
|
64 |
49 |
$9K |
| 90686 |
|
1,010 |
892 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
41 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$3K |
| 87807 |
|
252 |
231 |
$3K |
| 87210 |
|
615 |
582 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
72 |
68 |
$2K |
| 96127 |
|
548 |
507 |
$1K |
| 90670 |
|
2,083 |
1,804 |
$1K |
| 81003 |
|
492 |
458 |
$985.13 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,902 |
7,166 |
$983.79 |
| 99051 |
|
67 |
64 |
$780.00 |
| 90723 |
|
1,404 |
1,198 |
$500.32 |
| 90681 |
|
1,020 |
880 |
$402.85 |
| 80305 |
|
40 |
37 |
$382.69 |
| 0072A |
|
31 |
30 |
$251.09 |
| 0071A |
|
41 |
40 |
$215.22 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
43 |
32 |
$181.07 |
| 90647 |
|
1,138 |
951 |
$144.00 |
| 90633 |
|
1,458 |
1,302 |
$105.03 |
| 90698 |
|
607 |
528 |
$96.80 |
| 90710 |
|
529 |
451 |
$72.24 |
| 96160 |
|
325 |
301 |
$27.12 |
| 36415 |
Collection of venous blood by venipuncture |
704 |
439 |
$2.32 |
| 90677 |
|
341 |
339 |
$1.21 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,157 |
811 |
$0.32 |
| 90696 |
|
160 |
118 |
$0.08 |
| 90651 |
|
473 |
429 |
$0.00 |
| 3008F |
|
1,621 |
1,251 |
$0.00 |
| 3074F |
|
1,078 |
844 |
$0.00 |
| 3075F |
|
250 |
183 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
73 |
$0.00 |
| 85018 |
|
240 |
228 |
$0.00 |
| 3079F |
|
554 |
432 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
17 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
60 |
46 |
$0.00 |
| 90716 |
|
95 |
59 |
$0.00 |
| 90656 |
|
96 |
91 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
68 |
32 |
$0.00 |
| 3044F |
|
60 |
40 |
$0.00 |
| 90620 |
|
13 |
12 |
$0.00 |
| 90734 |
|
285 |
256 |
$0.00 |
| 1160F |
|
5,260 |
3,804 |
$0.00 |
| 1159F |
|
9,291 |
6,578 |
$0.00 |
| 3078F |
|
842 |
661 |
$0.00 |
| 90461 |
|
2,031 |
1,533 |
$0.00 |
| 81025 |
|
171 |
155 |
$0.00 |
| 90715 |
|
107 |
96 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$0.00 |
| 90707 |
|
97 |
61 |
$0.00 |
| 90658 |
|
32 |
32 |
$0.00 |