| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,488 |
11,296 |
$436K |
| 87428 |
|
6,791 |
6,235 |
$415K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,894 |
4,822 |
$379K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,906 |
4,402 |
$360K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,278 |
3,223 |
$265K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,708 |
2,656 |
$236K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,042 |
10,689 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,355 |
4,170 |
$217K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,348 |
4,166 |
$85K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,125 |
2,009 |
$82K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,420 |
5,093 |
$72K |
| 92551 |
|
6,723 |
6,616 |
$60K |
| 99381 |
|
764 |
686 |
$55K |
| 90461 |
|
22,918 |
5,824 |
$46K |
| 87807 |
|
2,466 |
2,274 |
$25K |
| 90671 |
|
343 |
342 |
$9K |
| 83655 |
|
882 |
868 |
$9K |
| 87276 |
|
952 |
895 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
521 |
364 |
$6K |
| 87275 |
|
964 |
907 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
375 |
226 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
254 |
113 |
$3K |
| 85018 |
|
1,085 |
1,066 |
$2K |
| 86328 |
|
29 |
26 |
$1K |
| 90697 |
|
1,132 |
1,114 |
$872.65 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$726.12 |
| 81003 |
|
297 |
269 |
$567.79 |
| H0033 |
Oral medication administration, direct observation |
247 |
244 |
$371.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
112 |
111 |
$317.20 |
| 90619 |
|
525 |
523 |
$313.74 |
| 90710 |
|
1,694 |
1,666 |
$241.12 |
| 90677 |
|
662 |
657 |
$204.13 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
33 |
33 |
$140.00 |
| J7510 |
Prednisolone oral, per 5 mg |
109 |
108 |
$89.25 |
| 99173 |
|
6,659 |
6,539 |
$84.00 |
| 90633 |
|
1,895 |
1,867 |
$36.31 |
| 36416 |
|
1,210 |
1,182 |
$21.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
159 |
154 |
$7.09 |
| 90686 |
|
2,932 |
2,882 |
$3.00 |
| 90621 |
|
653 |
650 |
$0.99 |
| 90734 |
|
456 |
434 |
$0.51 |
| 90715 |
|
292 |
275 |
$0.31 |
| 90670 |
|
2,662 |
2,572 |
$0.20 |
| 90680 |
|
2,564 |
2,485 |
$0.20 |
| 90648 |
|
682 |
643 |
$0.14 |
| 90723 |
|
670 |
633 |
$0.14 |
| 90651 |
|
866 |
832 |
$0.12 |
| 90380 |
|
63 |
62 |
$0.04 |
| G8598 |
Aspirin or another antiplatelet therapy used |
117 |
113 |
$0.00 |
| 90672 |
|
59 |
58 |
$0.00 |
| 90698 |
|
1,790 |
1,753 |
$0.00 |
| 90696 |
|
629 |
618 |
$0.00 |
| 90656 |
|
440 |
435 |
$0.00 |
| 90381 |
|
21 |
20 |
$0.00 |