| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,157 |
13,086 |
$955K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,158 |
7,143 |
$744K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,452 |
4,893 |
$491K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,828 |
9,009 |
$422K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,194 |
2,884 |
$284K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,862 |
1,695 |
$178K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,776 |
2,211 |
$79K |
| 99460 |
|
997 |
855 |
$64K |
| 99188 |
|
5,561 |
4,962 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,746 |
3,831 |
$53K |
| 92587 |
|
4,092 |
3,613 |
$48K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
954 |
823 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,609 |
2,149 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,790 |
3,813 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,670 |
1,396 |
$28K |
| 99401 |
|
2,061 |
1,831 |
$28K |
| 99174 |
|
2,688 |
2,341 |
$26K |
| 92567 |
|
2,141 |
1,714 |
$21K |
| 99383 |
|
120 |
115 |
$13K |
| 99477 |
|
58 |
52 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
133 |
120 |
$12K |
| 92015 |
Determination of refractive state |
417 |
399 |
$12K |
| 99381 |
|
158 |
137 |
$11K |
| 94664 |
|
875 |
751 |
$10K |
| 94667 |
|
580 |
439 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,396 |
1,238 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
544 |
415 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
556 |
418 |
$6K |
| 96127 |
|
1,182 |
1,048 |
$5K |
| 99384 |
|
44 |
37 |
$5K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
74 |
41 |
$5K |
| 84030 |
|
1,706 |
1,314 |
$3K |
| 87807 |
|
348 |
279 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 90651 |
|
679 |
620 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
616 |
473 |
$961.21 |
| 90461 |
|
57 |
52 |
$955.86 |
| 99462 |
|
31 |
28 |
$940.93 |
| A7015 |
Aerosol mask, used with dme nebulizer |
558 |
425 |
$630.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$515.88 |
| 36416 |
|
1,802 |
1,384 |
$493.18 |
| 94760 |
|
1,793 |
1,395 |
$309.36 |
| 90671 |
|
642 |
595 |
$228.20 |
| 81002 |
|
71 |
68 |
$160.20 |
| 90680 |
|
3,299 |
3,050 |
$110.90 |
| 90633 |
|
2,287 |
2,042 |
$106.35 |
| 90670 |
|
4,140 |
3,761 |
$97.81 |
| 90687 |
|
445 |
390 |
$33.92 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
567 |
429 |
$23.28 |
| 90723 |
|
1,006 |
916 |
$12.30 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
77 |
58 |
$1.32 |
| 90688 |
|
719 |
574 |
$0.01 |
| 90716 |
|
856 |
764 |
$0.01 |
| 90707 |
|
780 |
696 |
$0.01 |
| 99000 |
|
1,963 |
1,517 |
$0.00 |
| 90698 |
|
2,560 |
2,367 |
$0.00 |
| 97802 |
|
2,543 |
2,313 |
$0.00 |
| 90696 |
|
237 |
226 |
$0.00 |
| 90744 |
|
1,523 |
1,373 |
$0.00 |
| 90647 |
|
1,738 |
1,549 |
$0.00 |
| 90619 |
|
98 |
89 |
$0.00 |
| 90700 |
|
693 |
600 |
$0.00 |
| 90734 |
|
440 |
400 |
$0.00 |
| 90710 |
|
380 |
360 |
$0.00 |
| 90715 |
|
255 |
230 |
$0.00 |