| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,803 |
22,053 |
$2.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,295 |
10,935 |
$642K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,861 |
3,444 |
$296K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,494 |
3,105 |
$239K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,814 |
4,410 |
$196K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,421 |
4,724 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,071 |
1,946 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,496 |
1,410 |
$125K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,996 |
2,716 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,898 |
1,737 |
$30K |
| 90670 |
|
2,296 |
2,015 |
$24K |
| 90698 |
|
2,004 |
1,759 |
$22K |
| 87807 |
|
2,194 |
1,858 |
$21K |
| 90686 |
|
1,527 |
1,414 |
$16K |
| 90744 |
|
1,317 |
1,162 |
$15K |
| 90633 |
|
1,116 |
981 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
222 |
207 |
$13K |
| 90651 |
|
685 |
557 |
$12K |
| 90681 |
|
897 |
791 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
270 |
247 |
$9K |
| 90734 |
|
533 |
409 |
$8K |
| 90677 |
|
414 |
372 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
452 |
289 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
453 |
403 |
$6K |
| 90710 |
|
373 |
314 |
$5K |
| 90715 |
|
403 |
332 |
$5K |
| 90619 |
|
234 |
229 |
$4K |
| 99381 |
|
43 |
38 |
$4K |
| 90696 |
|
260 |
217 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
107 |
44 |
$3K |
| 90648 |
|
253 |
189 |
$2K |
| 90656 |
|
124 |
121 |
$2K |
| 90707 |
|
97 |
65 |
$1K |
| 81002 |
|
407 |
349 |
$972.40 |
| 83655 |
|
86 |
81 |
$919.15 |
| 90716 |
|
76 |
63 |
$883.64 |
| A7015 |
Aerosol mask, used with dme nebulizer |
468 |
309 |
$699.60 |
| 90723 |
|
93 |
65 |
$602.40 |
| 85018 |
|
248 |
219 |
$568.40 |
| 90685 |
|
71 |
61 |
$478.82 |
| 36416 |
|
84 |
79 |
$336.20 |
| 90680 |
|
15 |
14 |
$96.00 |
| 94760 |
|
14 |
12 |
$61.60 |
| 99051 |
|
138 |
135 |
$20.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
312 |
200 |
$14.34 |