| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58,087 |
48,769 |
$4.47M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27,909 |
26,901 |
$1.31M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,633 |
11,425 |
$1.10M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,162 |
10,133 |
$981K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,034 |
8,377 |
$954K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,149 |
9,140 |
$890K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,912 |
33,849 |
$882K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,566 |
4,559 |
$487K |
| 99441 |
|
10,690 |
9,389 |
$399K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17,997 |
10,562 |
$216K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,833 |
3,636 |
$136K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,777 |
3,617 |
$69K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,603 |
12,038 |
$65K |
| 99442 |
|
983 |
947 |
$60K |
| 96127 |
|
12,212 |
12,196 |
$57K |
| 90834 |
Psychotherapy, 45 minutes with patient |
638 |
129 |
$55K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,287 |
15,153 |
$52K |
| 87807 |
|
5,590 |
5,384 |
$43K |
| 83655 |
|
4,729 |
4,708 |
$41K |
| 99381 |
|
394 |
394 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
350 |
349 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
292 |
292 |
$31K |
| 99177 |
|
11,771 |
11,696 |
$21K |
| 94010 |
|
659 |
656 |
$18K |
| 99383 |
|
179 |
179 |
$18K |
| 81002 |
|
9,299 |
8,925 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
144 |
144 |
$9K |
| 92588 |
|
191 |
191 |
$7K |
| 99460 |
|
92 |
92 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
565 |
562 |
$7K |
| 87428 |
|
294 |
286 |
$6K |
| 0072A |
|
163 |
163 |
$6K |
| 90677 |
|
1,111 |
1,110 |
$6K |
| 0071A |
|
162 |
162 |
$5K |
| 86580 |
|
678 |
672 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
478 |
475 |
$3K |
| 99384 |
|
29 |
29 |
$3K |
| 69210 |
|
68 |
67 |
$3K |
| 94664 |
|
206 |
205 |
$2K |
| 99072 |
|
8,983 |
7,740 |
$2K |
| 90620 |
|
318 |
318 |
$2K |
| 90651 |
|
833 |
827 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
160 |
155 |
$2K |
| 99382 |
|
14 |
14 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
12 |
12 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
32 |
12 |
$1K |
| 92558 |
|
5,548 |
5,504 |
$839.54 |
| 99462 |
|
19 |
17 |
$593.98 |
| 90619 |
|
1,470 |
1,461 |
$564.76 |
| 90686 |
|
5,091 |
5,067 |
$335.58 |
| 90715 |
|
830 |
825 |
$259.70 |
| 90670 |
|
4,060 |
4,048 |
$249.90 |
| 99173 |
|
215 |
215 |
$244.02 |
| 90648 |
|
4,912 |
4,897 |
$232.05 |
| 90633 |
|
2,386 |
2,378 |
$220.18 |
| 90680 |
|
2,127 |
2,125 |
$214.20 |
| 36416 |
|
15,454 |
15,174 |
$151.10 |
| 90744 |
|
2,848 |
2,824 |
$104.77 |
| 90707 |
|
2,516 |
2,506 |
$98.58 |
| 90700 |
|
6,269 |
6,245 |
$71.40 |
| 99000 |
|
9,757 |
9,154 |
$60.39 |
| 90656 |
|
532 |
531 |
$47.19 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
145 |
140 |
$5.64 |
| 91307 |
|
327 |
310 |
$1.46 |
| 91300 |
|
32 |
29 |
$0.07 |
| 90681 |
|
513 |
512 |
$0.07 |
| 90716 |
|
2,671 |
2,662 |
$0.03 |
| 90621 |
|
12 |
12 |
$0.01 |
| 99174 |
|
146 |
146 |
$0.00 |
| 90713 |
|
5,120 |
5,104 |
$0.00 |
| 90734 |
|
423 |
420 |
$0.00 |
| 90710 |
|
52 |
51 |
$0.00 |
| 90685 |
|
214 |
214 |
$0.00 |