| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,248 |
19,574 |
$1.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,457 |
6,645 |
$752K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,291 |
4,386 |
$499K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,396 |
4,328 |
$467K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,219 |
3,508 |
$402K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,250 |
2,707 |
$341K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,902 |
12,049 |
$278K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,110 |
6,727 |
$202K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,728 |
5,106 |
$161K |
| 99199 |
Unlisted special service, procedure or report |
46,484 |
46,450 |
$125K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,354 |
6,012 |
$95K |
| 99460 |
|
785 |
662 |
$58K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,050 |
853 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,529 |
1,236 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,825 |
4,854 |
$47K |
| 90474 |
|
1,757 |
1,475 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
733 |
550 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,700 |
2,105 |
$23K |
| 96127 |
|
4,295 |
3,558 |
$17K |
| 92551 |
|
10,483 |
8,725 |
$12K |
| 87807 |
|
930 |
800 |
$12K |
| D0145 |
Oral evaluation for a patient under three years of age |
293 |
255 |
$11K |
| 87428 |
|
161 |
158 |
$10K |
| 80061 |
Lipid panel |
564 |
475 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
63 |
$7K |
| D1206 |
Topical application of fluoride varnish |
293 |
255 |
$5K |
| 99462 |
|
105 |
77 |
$3K |
| 54150 |
|
13 |
13 |
$3K |
| 99173 |
|
11,320 |
9,438 |
$2K |
| 99215 |
Prolong outpt/office vis |
23 |
12 |
$2K |
| 96160 |
|
597 |
480 |
$2K |
| 90619 |
|
849 |
725 |
$2K |
| 90620 |
|
623 |
517 |
$2K |
| 69210 |
|
46 |
39 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
133 |
114 |
$1K |
| 99381 |
|
18 |
15 |
$1K |
| 90671 |
|
1,458 |
1,344 |
$1K |
| 81003 |
|
433 |
346 |
$1K |
| 90651 |
|
601 |
484 |
$847.51 |
| 82962 |
|
300 |
251 |
$790.36 |
| 90686 |
|
4,296 |
3,284 |
$601.09 |
| 90697 |
|
1,222 |
1,105 |
$435.81 |
| 85014 |
|
909 |
731 |
$387.80 |
| 90473 |
|
19 |
19 |
$381.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
78 |
$336.17 |
| 90670 |
|
1,804 |
1,346 |
$239.75 |
| 94760 |
|
3,282 |
2,498 |
$204.37 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
15 |
$138.68 |
| 90698 |
|
589 |
389 |
$108.07 |
| 90715 |
|
137 |
117 |
$46.50 |
| 90656 |
|
428 |
414 |
$41.06 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
79 |
77 |
$9.36 |
| 90680 |
|
1,666 |
1,392 |
$0.00 |
| 90677 |
|
118 |
118 |
$0.00 |
| 90696 |
|
135 |
112 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90674 |
|
501 |
313 |
$0.00 |
| 90744 |
|
81 |
54 |
$0.00 |
| 90633 |
|
554 |
468 |
$0.00 |
| 90710 |
|
136 |
113 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
27 |
27 |
$0.00 |
| 90672 |
|
34 |
34 |
$0.00 |