| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,212 |
57,453 |
$6.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,007 |
32,552 |
$2.46M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,118 |
7,008 |
$696K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,673 |
6,575 |
$653K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29,539 |
29,087 |
$621K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,749 |
5,456 |
$537K |
| 99215 |
Prolong outpt/office vis |
3,279 |
3,126 |
$421K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
8,171 |
7,715 |
$349K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16,205 |
15,981 |
$318K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,296 |
2,266 |
$247K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,980 |
3,767 |
$169K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
682 |
665 |
$86K |
| 92587 |
|
4,230 |
4,142 |
$78K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
388 |
370 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,006 |
2,450 |
$55K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,455 |
4,351 |
$49K |
| 99205 |
Prolong outpt/office vis |
379 |
371 |
$40K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
403 |
396 |
$38K |
| 36416 |
|
9,901 |
9,610 |
$30K |
| 93320 |
|
672 |
655 |
$30K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
430 |
421 |
$30K |
| 99174 |
|
2,267 |
2,229 |
$24K |
| 93000 |
|
1,475 |
1,414 |
$20K |
| 99460 |
|
200 |
198 |
$18K |
| 94760 |
|
9,846 |
9,384 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,033 |
1,315 |
$16K |
| 93325 |
|
673 |
655 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,320 |
1,265 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
355 |
353 |
$11K |
| 96127 |
|
2,720 |
2,302 |
$8K |
| 99000 |
|
2,101 |
2,052 |
$8K |
| 90474 |
|
629 |
623 |
$7K |
| 99173 |
|
4,311 |
4,265 |
$5K |
| 83655 |
|
375 |
365 |
$4K |
| 87807 |
|
390 |
383 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
79 |
51 |
$4K |
| 99188 |
|
157 |
155 |
$3K |
| 90473 |
|
113 |
111 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 99429 |
|
137 |
88 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
17 |
$2K |
| 99443 |
|
55 |
55 |
$2K |
| D1206 |
Topical application of fluoride varnish |
142 |
137 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
21 |
12 |
$1K |
| 0071A |
|
35 |
33 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
88 |
$1K |
| 96160 |
|
1,475 |
1,434 |
$1K |
| 90480 |
|
30 |
30 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
92 |
91 |
$1K |
| 93224 |
|
14 |
14 |
$1K |
| 99442 |
|
45 |
45 |
$1K |
| 99464 |
|
12 |
12 |
$837.12 |
| 0072A |
|
21 |
21 |
$776.58 |
| S8100 |
Holding chamber or spacer for use with an inhaler or nebulizer; without mask |
158 |
158 |
$723.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
91 |
89 |
$678.86 |
| 99462 |
|
13 |
13 |
$534.95 |
| 80061 |
Lipid panel |
26 |
25 |
$356.20 |
| 85018 |
|
133 |
131 |
$281.06 |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
88 |
84 |
$246.00 |
| 81003 |
|
80 |
75 |
$168.08 |
| 99070 |
|
12 |
12 |
$120.00 |
| 3085F |
|
944 |
869 |
$0.00 |
| 90672 |
|
103 |
102 |
$0.00 |
| 90670 |
|
1,493 |
1,482 |
$0.00 |
| 90633 |
|
385 |
384 |
$0.00 |
| 90671 |
|
131 |
131 |
$0.00 |
| 91321 |
|
13 |
13 |
$0.00 |
| 90734 |
|
104 |
102 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90700 |
|
15 |
14 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90686 |
|
6,984 |
6,902 |
$0.00 |
| A4616 |
Tubing (oxygen), per foot |
383 |
372 |
$0.00 |
| 90723 |
|
839 |
833 |
$0.00 |
| 90680 |
|
443 |
439 |
$0.00 |
| J7615 |
Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg |
864 |
824 |
$0.00 |
| 90677 |
|
299 |
298 |
$0.00 |
| 90647 |
|
451 |
446 |
$0.00 |
| 90651 |
|
151 |
151 |
$0.00 |
| 90697 |
|
123 |
123 |
$0.00 |
| 91307 |
|
61 |
55 |
$0.00 |
| 90716 |
|
38 |
38 |
$0.00 |