| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
622,084 |
363,303 |
$3.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,407 |
31,140 |
$3.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,509 |
29,748 |
$2.08M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,439 |
13,383 |
$1.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,592 |
13,456 |
$1.38M |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26,282 |
20,958 |
$889K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,208 |
8,342 |
$815K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40,102 |
32,001 |
$707K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
8,894 |
5,370 |
$701K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,000 |
3,189 |
$340K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32,844 |
26,529 |
$244K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,863 |
10,009 |
$141K |
| 90474 |
|
5,798 |
4,877 |
$107K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,588 |
3,763 |
$104K |
| 92552 |
|
24,369 |
19,300 |
$104K |
| 96127 |
|
23,057 |
18,252 |
$83K |
| 99215 |
Prolong outpt/office vis |
725 |
640 |
$76K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,388 |
2,049 |
$75K |
| 83655 |
|
4,540 |
3,506 |
$53K |
| 99381 |
|
498 |
384 |
$39K |
| 99383 |
|
427 |
364 |
$35K |
| D1206 |
Topical application of fluoride varnish |
2,390 |
2,051 |
$33K |
| 96161 |
|
9,581 |
7,541 |
$30K |
| 90651 |
|
2,203 |
1,775 |
$21K |
| 99460 |
|
377 |
301 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
714 |
448 |
$17K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
6,790 |
5,063 |
$16K |
| 85018 |
|
10,689 |
8,238 |
$15K |
| 99382 |
|
190 |
173 |
$15K |
| 90734 |
|
1,425 |
1,117 |
$14K |
| 99173 |
|
24,661 |
19,608 |
$13K |
| 90686 |
|
10,385 |
8,268 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
223 |
177 |
$11K |
| 87807 |
|
861 |
714 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
294 |
268 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
92 |
$8K |
| 90677 |
|
1,184 |
1,097 |
$7K |
| 90670 |
|
10,477 |
8,269 |
$6K |
| 90656 |
|
943 |
876 |
$6K |
| 90633 |
|
6,835 |
5,591 |
$6K |
| 90716 |
|
3,053 |
2,428 |
$6K |
| 99401 |
|
304 |
145 |
$5K |
| 90723 |
|
4,200 |
3,434 |
$5K |
| 90698 |
|
3,101 |
2,566 |
$5K |
| 54162 |
|
34 |
24 |
$5K |
| 90680 |
|
5,921 |
4,949 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
326 |
273 |
$4K |
| 96160 |
|
1,447 |
1,116 |
$4K |
| 0071A |
|
76 |
55 |
$4K |
| 81003 |
|
2,404 |
2,103 |
$4K |
| 99051 |
|
163 |
128 |
$3K |
| 0072A |
|
64 |
43 |
$3K |
| 99384 |
|
38 |
32 |
$2K |
| 99177 |
|
3,671 |
3,045 |
$2K |
| 90473 |
|
147 |
90 |
$2K |
| 90707 |
|
3,016 |
2,419 |
$2K |
| 90715 |
|
802 |
640 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
166 |
142 |
$2K |
| 90647 |
|
4,667 |
3,725 |
$1K |
| 94010 |
|
35 |
32 |
$767.40 |
| 94760 |
|
6,159 |
4,486 |
$743.44 |
| 90700 |
|
2,131 |
1,753 |
$571.07 |
| 90672 |
|
228 |
149 |
$330.96 |
| 90688 |
|
213 |
150 |
$321.48 |
| 90710 |
|
90 |
62 |
$275.16 |
| 90744 |
|
1,881 |
1,542 |
$239.51 |
| 36416 |
|
8,808 |
6,470 |
$206.62 |
| A7015 |
Aerosol mask, used with dme nebulizer |
133 |
118 |
$185.29 |
| 90696 |
|
324 |
283 |
$119.64 |
| 94664 |
|
18 |
16 |
$77.91 |
| 91307 |
|
228 |
158 |
$32.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
181 |
157 |
$2.49 |
| 99000 |
|
16,997 |
12,430 |
$0.00 |
| 90621 |
|
168 |
154 |
$0.00 |
| 90685 |
|
675 |
594 |
$0.00 |
| 99072 |
|
1,155 |
1,052 |
$0.00 |
| 90713 |
|
71 |
58 |
$0.00 |