| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,685 |
53,728 |
$2.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,764 |
20,398 |
$1.48M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,243 |
11,536 |
$1.00M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,876 |
9,383 |
$810K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,632 |
9,251 |
$782K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,477 |
6,239 |
$578K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37,404 |
30,952 |
$196K |
| 97803 |
|
21,551 |
20,341 |
$126K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
348 |
99 |
$90K |
| 90461 |
|
12,099 |
10,469 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,872 |
2,487 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,673 |
6,193 |
$16K |
| 97802 |
|
1,286 |
1,226 |
$15K |
| 99383 |
|
167 |
160 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
177 |
155 |
$11K |
| 81002 |
|
12,065 |
11,498 |
$9K |
| 85018 |
|
15,736 |
15,021 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$6K |
| 99381 |
|
192 |
146 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,609 |
2,081 |
$4K |
| 99384 |
|
50 |
49 |
$4K |
| 90670 |
|
5,550 |
5,034 |
$3K |
| 92551 |
|
11,426 |
10,376 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
699 |
562 |
$2K |
| 99442 |
|
150 |
135 |
$2K |
| 99173 |
|
19,147 |
17,491 |
$2K |
| 90686 |
|
4,593 |
4,191 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,036 |
949 |
$1K |
| 99382 |
|
16 |
12 |
$1K |
| 87081 |
|
984 |
930 |
$867.83 |
| 90633 |
|
2,917 |
2,717 |
$729.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
74 |
$641.61 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
177 |
74 |
$492.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
602 |
217 |
$416.45 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
13 |
$342.38 |
| 90716 |
|
289 |
257 |
$318.67 |
| 90710 |
|
715 |
684 |
$266.03 |
| 90698 |
|
2,320 |
2,085 |
$262.76 |
| 90734 |
|
1,225 |
1,157 |
$255.76 |
| 0072A |
|
19 |
15 |
$240.00 |
| 95076 |
|
15 |
15 |
$163.34 |
| 36416 |
|
14,732 |
13,135 |
$127.83 |
| 91307 |
|
56 |
48 |
$123.32 |
| 95018 |
|
14 |
14 |
$116.23 |
| 90648 |
|
701 |
613 |
$112.86 |
| 87807 |
|
96 |
89 |
$98.52 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,548 |
1,425 |
$87.84 |
| 90723 |
|
71 |
62 |
$72.73 |
| 90651 |
|
2,183 |
2,094 |
$50.06 |
| 90744 |
|
961 |
865 |
$48.36 |
| S9451 |
Exercise classes, non-physician provider, per session |
13,924 |
12,699 |
$41.18 |
| 86580 |
|
18 |
13 |
$26.40 |
| 90619 |
|
28 |
28 |
$14.18 |
| 90696 |
|
333 |
319 |
$10.00 |
| 90707 |
|
342 |
293 |
$10.00 |
| 90700 |
|
135 |
122 |
$10.00 |
| 91305 |
|
44 |
27 |
$0.00 |
| 94760 |
|
451 |
407 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90680 |
|
905 |
813 |
$0.00 |
| 90620 |
|
555 |
523 |
$0.00 |
| 99000 |
|
38 |
31 |
$0.00 |
| 90697 |
|
88 |
88 |
$0.00 |
| 90681 |
|
374 |
315 |
$0.00 |
| 90715 |
|
405 |
386 |
$0.00 |
| 90621 |
|
62 |
59 |
$0.00 |
| 90685 |
|
49 |
41 |
$0.00 |
| 90672 |
|
21 |
19 |
$0.00 |