| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54,196 |
50,437 |
$4.67M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,315 |
31,282 |
$1.97M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,886 |
8,557 |
$698K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,687 |
7,909 |
$630K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,696 |
7,428 |
$599K |
| 87428 |
|
10,149 |
9,679 |
$383K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,279 |
4,109 |
$357K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31,246 |
24,625 |
$254K |
| 92551 |
|
22,075 |
21,046 |
$215K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,865 |
14,144 |
$194K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,718 |
4,475 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32,214 |
30,324 |
$117K |
| 90686 |
|
9,201 |
8,655 |
$102K |
| 90670 |
|
2,973 |
2,827 |
$87K |
| 90651 |
|
1,691 |
1,606 |
$81K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,290 |
3,030 |
$78K |
| 90619 |
|
820 |
793 |
$69K |
| 99215 |
Prolong outpt/office vis |
508 |
482 |
$61K |
| 90677 |
|
471 |
432 |
$60K |
| 96127 |
|
12,973 |
6,180 |
$60K |
| 83655 |
|
4,031 |
3,846 |
$47K |
| 90461 |
|
12,482 |
11,788 |
$31K |
| 90698 |
|
1,304 |
1,230 |
$30K |
| 0001A |
|
715 |
708 |
$27K |
| 0002A |
|
656 |
653 |
$26K |
| 99173 |
|
12,326 |
11,015 |
$25K |
| 99402 |
|
1,286 |
1,204 |
$24K |
| 85014 |
|
9,712 |
9,298 |
$22K |
| 90680 |
|
823 |
778 |
$21K |
| 90716 |
|
664 |
646 |
$19K |
| 99000 |
|
22,062 |
20,032 |
$18K |
| 99174 |
|
3,906 |
3,477 |
$15K |
| 0071A |
|
348 |
346 |
$14K |
| 0072A |
|
345 |
326 |
$14K |
| 99072 |
|
14,789 |
13,733 |
$13K |
| 90707 |
|
658 |
641 |
$13K |
| 90734 |
|
425 |
397 |
$13K |
| 87807 |
|
1,103 |
979 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
90 |
80 |
$12K |
| 90674 |
|
481 |
466 |
$12K |
| 90633 |
|
728 |
708 |
$10K |
| 90700 |
|
630 |
606 |
$8K |
| 90671 |
|
66 |
57 |
$7K |
| 90620 |
|
180 |
174 |
$7K |
| 90744 |
|
381 |
357 |
$5K |
| 36416 |
|
15,279 |
14,290 |
$4K |
| 90715 |
|
241 |
234 |
$4K |
| 99051 |
|
2,404 |
2,298 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
425 |
401 |
$3K |
| 90661 |
|
266 |
254 |
$3K |
| 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) |
222 |
207 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,307 |
1,250 |
$2K |
| 96161 |
|
1,045 |
973 |
$2K |
| 94760 |
|
7,982 |
7,356 |
$2K |
| 90713 |
|
70 |
70 |
$915.70 |
| 85018 |
|
248 |
244 |
$496.16 |
| 0124A |
|
13 |
13 |
$470.00 |
| 87081 |
|
86 |
81 |
$468.33 |
| 81003 |
|
219 |
210 |
$442.97 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
48 |
42 |
$379.01 |
| 99401 |
|
13 |
12 |
$291.37 |
| 90688 |
|
16 |
14 |
$154.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
62 |
58 |
$78.98 |
| A7015 |
Aerosol mask, used with dme nebulizer |
34 |
33 |
$39.86 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
57 |
55 |
$3.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
29 |
$3.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$1.54 |