| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,134 |
16,423 |
$864K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,854 |
6,058 |
$421K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,069 |
12,293 |
$367K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,014 |
4,352 |
$299K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,673 |
4,277 |
$272K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,361 |
2,915 |
$219K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,051 |
12,781 |
$185K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,965 |
7,103 |
$119K |
| 99051 |
|
6,146 |
5,273 |
$83K |
| 99381 |
|
1,035 |
913 |
$68K |
| 92551 |
|
9,693 |
8,424 |
$68K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
852 |
673 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,339 |
5,891 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
720 |
629 |
$46K |
| 99383 |
|
421 |
363 |
$29K |
| 90474 |
|
2,876 |
2,576 |
$23K |
| 81002 |
|
10,718 |
8,971 |
$23K |
| 83655 |
|
2,439 |
1,858 |
$21K |
| 85018 |
|
9,667 |
7,747 |
$18K |
| 99173 |
|
11,739 |
9,957 |
$18K |
| 85014 |
|
9,589 |
7,649 |
$18K |
| 87428 |
|
787 |
663 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
303 |
273 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
483 |
388 |
$17K |
| 99382 |
|
167 |
146 |
$12K |
| 97802 |
|
6,080 |
3,955 |
$11K |
| 96160 |
|
6,964 |
5,169 |
$8K |
| 0071A |
|
213 |
175 |
$8K |
| 99384 |
|
102 |
86 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
607 |
492 |
$6K |
| 0072A |
|
149 |
141 |
$6K |
| 0001A |
|
153 |
144 |
$6K |
| 81025 |
|
1,096 |
821 |
$5K |
| 90620 |
|
815 |
631 |
$5K |
| 0002A |
|
123 |
109 |
$5K |
| 81003 |
|
1,528 |
1,308 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
253 |
109 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
253 |
217 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,172 |
985 |
$2K |
| 90651 |
|
1,926 |
1,614 |
$2K |
| 0111A |
|
35 |
29 |
$1K |
| 96380 |
|
94 |
80 |
$1K |
| 90671 |
|
1,404 |
1,055 |
$756.84 |
| 0054A |
|
17 |
15 |
$703.25 |
| A7017 |
Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen |
118 |
97 |
$688.80 |
| 69210 |
|
29 |
20 |
$688.56 |
| 0051A |
|
18 |
17 |
$581.39 |
| 99499 |
|
55 |
44 |
$544.00 |
| 90715 |
|
464 |
378 |
$444.67 |
| 90670 |
|
3,388 |
3,022 |
$433.43 |
| 90734 |
|
1,594 |
1,284 |
$411.88 |
| 90656 |
|
150 |
131 |
$391.85 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
123 |
102 |
$350.35 |
| 90674 |
|
107 |
99 |
$170.00 |
| 90716 |
|
495 |
372 |
$150.23 |
| 90688 |
|
915 |
756 |
$137.50 |
| 90686 |
|
3,034 |
2,640 |
$133.71 |
| 90680 |
|
2,995 |
2,633 |
$97.06 |
| 90707 |
|
491 |
367 |
$76.43 |
| 90633 |
|
2,903 |
2,456 |
$29.83 |
| 36416 |
|
46 |
23 |
$17.71 |
| 90700 |
|
1,094 |
942 |
$12.50 |
| 90648 |
|
2,466 |
2,175 |
$10.55 |
| A7015 |
Aerosol mask, used with dme nebulizer |
18 |
13 |
$8.40 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
282 |
226 |
$0.45 |
| 90380 |
|
52 |
41 |
$0.03 |
| 90381 |
|
39 |
32 |
$0.01 |
| 91307 |
|
457 |
382 |
$0.01 |
| 90723 |
|
1,372 |
1,271 |
$0.00 |
| 90698 |
|
624 |
562 |
$0.00 |
| 90697 |
|
856 |
656 |
$0.00 |
| 90696 |
|
955 |
733 |
$0.00 |
| 91305 |
|
97 |
88 |
$0.00 |
| 90744 |
|
55 |
54 |
$0.00 |
| 90710 |
|
1,843 |
1,521 |
$0.00 |
| 91300 |
|
327 |
282 |
$0.00 |
| 91311 |
|
70 |
53 |
$0.00 |
| 90685 |
|
106 |
102 |
$0.00 |