| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,193 |
37,097 |
$1.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,502 |
34,718 |
$958K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,475 |
8,336 |
$509K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,489 |
8,351 |
$479K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,710 |
6,369 |
$401K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42,880 |
20,105 |
$347K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,460 |
5,358 |
$336K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29,726 |
27,909 |
$286K |
| 87428 |
|
7,327 |
7,065 |
$232K |
| 99429 |
|
6,735 |
6,617 |
$164K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,129 |
2,083 |
$75K |
| 99463 |
|
515 |
508 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,572 |
5,873 |
$48K |
| 99215 |
Prolong outpt/office vis |
832 |
796 |
$46K |
| 99499 |
|
994 |
852 |
$46K |
| 90461 |
|
10,618 |
8,725 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
517 |
493 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,982 |
1,473 |
$28K |
| 0071A |
|
835 |
816 |
$23K |
| 83655 |
|
2,954 |
2,905 |
$22K |
| 0072A |
|
793 |
759 |
$21K |
| 90480 |
|
878 |
868 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
357 |
348 |
$17K |
| 92551 |
|
17,197 |
16,859 |
$16K |
| 99381 |
|
181 |
171 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
169 |
167 |
$13K |
| 0124A |
|
308 |
293 |
$12K |
| 93000 |
|
1,150 |
1,118 |
$9K |
| 99000 |
|
1,230 |
1,180 |
$9K |
| 0081A |
|
315 |
313 |
$8K |
| 0001A |
|
308 |
303 |
$8K |
| 0002A |
|
301 |
295 |
$7K |
| 90651 |
|
2,398 |
2,333 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
97 |
92 |
$7K |
| 0154A |
|
270 |
229 |
$6K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
279 |
273 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
504 |
485 |
$5K |
| 99383 |
|
62 |
62 |
$5K |
| 0082A |
|
193 |
192 |
$5K |
| 0004A |
|
206 |
195 |
$5K |
| 96161 |
|
3,938 |
3,854 |
$4K |
| 0074A |
|
170 |
165 |
$4K |
| 94760 |
|
16,560 |
15,327 |
$4K |
| 96160 |
|
3,323 |
3,244 |
$4K |
| 90686 |
|
8,871 |
8,615 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
588 |
335 |
$4K |
| 90620 |
|
900 |
879 |
$4K |
| 90619 |
|
1,344 |
1,308 |
$3K |
| 81002 |
|
1,423 |
1,365 |
$3K |
| 90677 |
|
1,150 |
1,137 |
$3K |
| 90710 |
|
2,493 |
2,437 |
$3K |
| 0003A |
|
95 |
92 |
$2K |
| 0083A |
|
72 |
71 |
$2K |
| 99384 |
|
13 |
12 |
$1K |
| 90680 |
|
3,637 |
3,530 |
$1K |
| 90670 |
|
4,321 |
4,173 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
76 |
$783.30 |
| 99173 |
|
19,405 |
18,975 |
$615.25 |
| 90633 |
|
2,839 |
2,774 |
$602.32 |
| 85014 |
|
1,361 |
1,337 |
$598.37 |
| 85018 |
|
1,409 |
1,383 |
$568.99 |
| 90623 |
|
108 |
107 |
$515.74 |
| 90698 |
|
1,982 |
1,921 |
$378.96 |
| 87420 |
|
35 |
35 |
$337.64 |
| 90696 |
|
1,207 |
1,178 |
$273.54 |
| 0173A |
|
14 |
13 |
$264.80 |
| 90697 |
|
1,540 |
1,493 |
$250.00 |
| 90715 |
|
1,094 |
1,051 |
$245.81 |
| 96381 |
|
22 |
21 |
$204.05 |
| 96380 |
|
12 |
12 |
$186.69 |
| 90734 |
|
356 |
348 |
$144.50 |
| 90648 |
|
1,257 |
1,216 |
$138.91 |
| 91307 |
|
1,970 |
1,850 |
$130.15 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
125 |
76 |
$112.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$109.63 |
| 90744 |
|
758 |
736 |
$107.27 |
| 90700 |
|
1,307 |
1,263 |
$52.74 |
| 81025 |
|
12 |
12 |
$49.58 |
| 91300 |
|
1,116 |
1,057 |
$15.93 |
| A7015 |
Aerosol mask, used with dme nebulizer |
71 |
64 |
$9.12 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
45 |
40 |
$2.25 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
57 |
51 |
$1.55 |
| 91320 |
|
256 |
251 |
$1.25 |
| 90656 |
|
37 |
37 |
$0.09 |
| 91312 |
|
308 |
293 |
$0.07 |
| 91315 |
|
272 |
231 |
$0.07 |
| 90713 |
|
14 |
14 |
$0.05 |
| 91308 |
|
676 |
659 |
$0.05 |
| 91319 |
|
246 |
244 |
$0.04 |
| 91318 |
|
247 |
243 |
$0.01 |
| 99072 |
|
2,088 |
2,040 |
$0.00 |
| 90707 |
|
47 |
46 |
$0.00 |
| 90621 |
|
47 |
47 |
$0.00 |
| A4550 |
Surgical trays |
20 |
13 |
$0.00 |
| 99188 |
|
15 |
15 |
$0.00 |
| 36416 |
|
3,439 |
3,367 |
$0.00 |
| 90716 |
|
38 |
37 |
$0.00 |
| 91317 |
|
64 |
63 |
$0.00 |
| 90381 |
|
22 |
22 |
$0.00 |