| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,601 |
26,937 |
$1.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,948 |
6,391 |
$549K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,922 |
4,810 |
$403K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,231 |
4,077 |
$342K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,350 |
3,247 |
$301K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,612 |
3,428 |
$274K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,448 |
6,181 |
$176K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,318 |
9,765 |
$170K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,496 |
1,384 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,823 |
1,660 |
$56K |
| 99383 |
|
493 |
485 |
$45K |
| 99384 |
|
466 |
430 |
$44K |
| 99381 |
|
528 |
504 |
$42K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
216 |
19 |
$40K |
| 90474 |
|
1,426 |
1,406 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,664 |
1,597 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
826 |
773 |
$12K |
| 0071A |
|
161 |
157 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
45 |
45 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
432 |
431 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
106 |
$10K |
| 95144 |
|
96 |
18 |
$10K |
| 99401 |
|
340 |
322 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
281 |
225 |
$10K |
| 0072A |
|
117 |
114 |
$9K |
| 69210 |
|
145 |
138 |
$8K |
| 96127 |
|
1,314 |
1,297 |
$6K |
| 99382 |
|
103 |
89 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
123 |
$5K |
| 96160 |
|
1,107 |
1,066 |
$2K |
| 0073A |
|
25 |
25 |
$2K |
| 81002 |
|
549 |
489 |
$2K |
| 99385 |
|
15 |
15 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
87 |
85 |
$1K |
| 0011A |
|
35 |
34 |
$840.00 |
| 94664 |
|
60 |
56 |
$756.98 |
| 0001A |
|
22 |
22 |
$720.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$719.19 |
| 0012A |
|
16 |
16 |
$640.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
36 |
$306.42 |
| 99173 |
|
161 |
144 |
$257.56 |
| A4617 |
Mouth piece |
60 |
59 |
$163.34 |
| 81025 |
|
17 |
16 |
$108.55 |
| 90686 |
|
1,774 |
1,611 |
$81.65 |
| 90633 |
|
1,577 |
1,438 |
$70.92 |
| 94760 |
|
94 |
82 |
$59.12 |
| 90670 |
|
2,290 |
2,078 |
$20.27 |
| 90651 |
|
1,474 |
1,336 |
$15.50 |
| 90734 |
|
812 |
717 |
$15.49 |
| 90710 |
|
1,110 |
1,032 |
$10.85 |
| 90680 |
|
1,900 |
1,729 |
$10.82 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
75 |
73 |
$3.62 |
| 90715 |
|
395 |
357 |
$1.18 |
| 90744 |
|
1,045 |
933 |
$1.08 |
| 90674 |
|
70 |
63 |
$0.14 |
| 90671 |
|
162 |
156 |
$0.14 |
| 90677 |
|
144 |
119 |
$0.07 |
| 90698 |
|
1,579 |
1,431 |
$0.01 |
| 90620 |
|
585 |
529 |
$0.00 |
| 90619 |
|
156 |
147 |
$0.00 |
| 90696 |
|
246 |
235 |
$0.00 |
| 90697 |
|
70 |
61 |
$0.00 |
| 90716 |
|
85 |
82 |
$0.00 |
| 90700 |
|
230 |
223 |
$0.00 |
| 90685 |
|
81 |
73 |
$0.00 |
| 90707 |
|
54 |
51 |
$0.00 |
| 99072 |
|
92 |
87 |
$0.00 |
| 90648 |
|
95 |
93 |
$0.00 |
| 90473 |
|
77 |
55 |
$0.00 |