| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,517 |
57,909 |
$2.47M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,250 |
6,077 |
$488K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,725 |
7,457 |
$417K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,997 |
4,868 |
$393K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,214 |
5,039 |
$387K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,482 |
13,885 |
$365K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25,036 |
23,486 |
$324K |
| 87428 |
|
5,094 |
4,808 |
$324K |
| 94014 |
|
7,353 |
7,192 |
$317K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,215 |
13,215 |
$247K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,660 |
6,125 |
$245K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,252 |
3,121 |
$235K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17,902 |
8,631 |
$230K |
| 92567 |
|
20,562 |
19,559 |
$207K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,714 |
14,518 |
$97K |
| 99429 |
|
2,334 |
2,308 |
$70K |
| S8301 |
Infection control supplies, not otherwise specified |
7,148 |
6,561 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,099 |
1,062 |
$61K |
| 87807 |
|
5,621 |
5,313 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
607 |
574 |
$43K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,135 |
2,206 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,968 |
3,882 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
788 |
763 |
$29K |
| 90461 |
|
5,713 |
4,818 |
$22K |
| 86769 |
|
517 |
248 |
$19K |
| 99000 |
|
1,480 |
1,412 |
$13K |
| 99381 |
|
151 |
149 |
$12K |
| 99050 |
|
704 |
680 |
$10K |
| 86308 |
|
2,270 |
2,213 |
$9K |
| 99441 |
|
381 |
359 |
$6K |
| 96161 |
|
3,649 |
3,538 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
449 |
438 |
$6K |
| 99051 |
|
1,455 |
1,379 |
$6K |
| 83655 |
|
603 |
585 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,974 |
2,039 |
$5K |
| 81003 |
|
2,279 |
2,148 |
$4K |
| CP002 |
|
331 |
245 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
272 |
267 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
157 |
149 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 97169 |
|
262 |
242 |
$1K |
| 86580 |
|
70 |
68 |
$511.80 |
| 87400 |
|
29 |
29 |
$337.75 |
| 90651 |
|
1,134 |
1,116 |
$322.09 |
| 90619 |
|
656 |
644 |
$195.39 |
| 90686 |
|
5,791 |
5,646 |
$186.60 |
| 90380 |
|
12 |
12 |
$173.25 |
| 84030 |
|
30 |
30 |
$115.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$23.52 |
| 90656 |
|
771 |
762 |
$17.49 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
456 |
442 |
$13.08 |
| 90671 |
|
1,106 |
1,093 |
$1.17 |
| 90621 |
|
162 |
160 |
$0.16 |
| 90677 |
|
80 |
79 |
$0.05 |
| 90633 |
|
1,168 |
1,139 |
$0.00 |
| 90710 |
|
621 |
600 |
$0.00 |
| 90707 |
|
251 |
243 |
$0.00 |
| 90715 |
|
370 |
366 |
$0.00 |
| 90670 |
|
1,284 |
1,245 |
$0.00 |
| 90734 |
|
397 |
382 |
$0.00 |
| 90713 |
|
45 |
45 |
$0.00 |
| 90648 |
|
265 |
263 |
$0.00 |
| 90700 |
|
299 |
298 |
$0.00 |
| 94664 |
|
31 |
26 |
$0.00 |
| 90696 |
|
300 |
291 |
$0.00 |
| 90698 |
|
873 |
855 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
637 |
611 |
$0.00 |
| 90697 |
|
848 |
830 |
$0.00 |
| 90680 |
|
1,529 |
1,501 |
$0.00 |
| 90620 |
|
335 |
329 |
$0.00 |
| 90744 |
|
433 |
424 |
$0.00 |
| 90716 |
|
241 |
235 |
$0.00 |
| 36416 |
|
261 |
249 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |