| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,577 |
12,227 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,641 |
15,902 |
$1.21M |
| 99199 |
Unlisted special service, procedure or report |
178,705 |
105,382 |
$1.08M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,422 |
6,448 |
$686K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,693 |
6,504 |
$680K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,253 |
5,268 |
$567K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,768 |
2,358 |
$277K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,086 |
11,565 |
$265K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,371 |
7,970 |
$260K |
| 92587 |
|
11,206 |
9,497 |
$177K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,973 |
10,963 |
$111K |
| 99460 |
|
1,667 |
1,394 |
$109K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,765 |
1,509 |
$96K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,320 |
1,590 |
$90K |
| 99381 |
|
946 |
780 |
$86K |
| 90474 |
|
3,984 |
3,466 |
$75K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,888 |
1,525 |
$70K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,739 |
1,786 |
$64K |
| 99462 |
|
1,999 |
1,300 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,319 |
1,868 |
$55K |
| 92552 |
|
7,797 |
6,471 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,095 |
1,954 |
$39K |
| 96127 |
|
8,359 |
7,121 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,413 |
2,116 |
$31K |
| 95117 |
|
3,225 |
1,478 |
$28K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
359 |
334 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
132 |
$19K |
| 96161 |
|
5,384 |
4,478 |
$18K |
| 83655 |
|
1,492 |
1,278 |
$18K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
283 |
220 |
$15K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
53 |
53 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
393 |
312 |
$13K |
| 87807 |
|
923 |
756 |
$11K |
| 87428 |
|
206 |
177 |
$11K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
47 |
43 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
237 |
$9K |
| 96160 |
|
2,113 |
1,768 |
$7K |
| D0145 |
Oral evaluation for a patient under three years of age |
228 |
201 |
$7K |
| 90651 |
|
1,227 |
1,034 |
$6K |
| 85018 |
|
2,937 |
2,567 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
180 |
173 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
32 |
$5K |
| 81003 |
|
2,595 |
1,894 |
$4K |
| 99221 |
|
43 |
42 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
359 |
309 |
$3K |
| 90670 |
|
5,317 |
4,580 |
$3K |
| 90734 |
|
983 |
810 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
57 |
44 |
$2K |
| 81025 |
|
350 |
286 |
$2K |
| 99051 |
|
59 |
58 |
$1K |
| D1206 |
Topical application of fluoride varnish |
148 |
141 |
$1K |
| 81005 |
|
993 |
848 |
$847.61 |
| 94664 |
|
104 |
71 |
$823.69 |
| 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) |
335 |
290 |
$790.94 |
| 90716 |
|
1,140 |
992 |
$741.97 |
| 87634 |
|
162 |
157 |
$571.50 |
| 90633 |
|
2,849 |
2,487 |
$403.26 |
| 90707 |
|
1,086 |
952 |
$341.53 |
| 97802 |
|
55 |
53 |
$237.70 |
| 90715 |
|
500 |
396 |
$222.78 |
| 90620 |
|
247 |
205 |
$193.05 |
| 90686 |
|
2,640 |
2,278 |
$178.66 |
| 90647 |
|
2,692 |
2,335 |
$145.63 |
| 99406 |
|
12 |
12 |
$104.13 |
| 92588 |
|
33 |
16 |
$101.36 |
| 94760 |
|
2,999 |
2,642 |
$32.20 |
| 99174 |
|
7,624 |
6,645 |
$30.64 |
| 90656 |
|
88 |
83 |
$16.58 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
115 |
87 |
$3.49 |
| 90723 |
|
2,908 |
2,603 |
$0.12 |
| 90681 |
|
3,564 |
3,081 |
$0.00 |
| 90700 |
|
915 |
767 |
$0.00 |
| 90710 |
|
1,042 |
838 |
$0.00 |
| 90648 |
|
412 |
397 |
$0.00 |
| 90461 |
|
174 |
164 |
$0.00 |
| 90685 |
|
37 |
35 |
$0.00 |
| 90655 |
|
66 |
63 |
$0.00 |
| 90713 |
|
13 |
12 |
$0.00 |
| 36416 |
|
1,367 |
1,283 |
$0.00 |
| 90696 |
|
976 |
786 |
$0.00 |
| 90677 |
|
560 |
525 |
$0.00 |
| 90697 |
|
1,547 |
1,280 |
$0.00 |
| 90680 |
|
394 |
383 |
$0.00 |
| 90698 |
|
86 |
78 |
$0.00 |
| 99441 |
|
22 |
12 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
131 |
122 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
33 |
32 |
$0.00 |
| 1005F |
|
55 |
41 |
$0.00 |
| 2016F |
|
83 |
65 |
$0.00 |
| A4616 |
Tubing (oxygen), per foot |
51 |
49 |
$0.00 |