| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,349 |
39,147 |
$2.64M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,003 |
15,578 |
$1.58M |
| 99199 |
Unlisted special service, procedure or report |
225,365 |
153,452 |
$726K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,967 |
7,166 |
$664K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,388 |
5,810 |
$543K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,762 |
20,459 |
$432K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,384 |
10,270 |
$313K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22,425 |
19,948 |
$292K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,093 |
2,706 |
$263K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,003 |
11,772 |
$125K |
| 87081 |
|
16,294 |
14,419 |
$105K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,287 |
3,260 |
$91K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,046 |
7,922 |
$78K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,904 |
1,803 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,401 |
1,125 |
$48K |
| 90474 |
|
1,518 |
1,459 |
$30K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
253 |
196 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
305 |
$30K |
| D1206 |
Topical application of fluoride varnish |
1,905 |
1,804 |
$28K |
| 80061 |
Lipid panel |
1,063 |
884 |
$15K |
| 92551 |
|
10,554 |
9,311 |
$15K |
| 99051 |
|
472 |
459 |
$11K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
76 |
65 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
253 |
204 |
$9K |
| 96160 |
|
1,998 |
1,828 |
$7K |
| 96127 |
|
1,690 |
1,523 |
$7K |
| 83655 |
|
512 |
483 |
$7K |
| 96161 |
|
1,835 |
1,760 |
$7K |
| 90686 |
|
4,424 |
4,099 |
$6K |
| 82947 |
|
1,073 |
891 |
$5K |
| 99401 |
|
93 |
71 |
$3K |
| 0071A |
|
69 |
40 |
$3K |
| 0072A |
|
49 |
36 |
$3K |
| 99460 |
|
25 |
25 |
$2K |
| 90651 |
|
92 |
76 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
28 |
$2K |
| 99173 |
|
1,770 |
1,519 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
13 |
$820.96 |
| 90734 |
|
61 |
58 |
$737.10 |
| 90697 |
|
164 |
147 |
$731.88 |
| 90670 |
|
3,496 |
3,258 |
$596.38 |
| 90619 |
|
30 |
13 |
$457.22 |
| 87807 |
|
30 |
28 |
$366.57 |
| 87400 |
|
24 |
12 |
$339.12 |
| 99177 |
|
630 |
554 |
$318.42 |
| 90677 |
|
286 |
265 |
$269.40 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28 |
26 |
$254.39 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
89 |
$252.30 |
| 87070 |
|
17 |
16 |
$178.40 |
| 81000 |
|
41 |
39 |
$139.95 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$132.34 |
| 36416 |
|
10,029 |
8,729 |
$122.35 |
| 90715 |
|
38 |
24 |
$82.76 |
| 99172 |
|
2,244 |
1,977 |
$68.00 |
| 90688 |
|
32 |
31 |
$63.20 |
| 90744 |
|
551 |
533 |
$53.22 |
| 90672 |
|
18 |
13 |
$47.28 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
13 |
13 |
$33.80 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$23.79 |
| 94760 |
|
33 |
30 |
$8.28 |
| 90698 |
|
3,056 |
2,931 |
$1.30 |
| 90661 |
|
309 |
277 |
$0.57 |
| 90680 |
|
1,513 |
1,455 |
$0.12 |
| 90674 |
|
1,088 |
905 |
$0.06 |
| 99174 |
|
1,699 |
1,602 |
$0.00 |
| 99000 |
|
2,838 |
2,291 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 91307 |
|
118 |
76 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.00 |
| 90633 |
|
347 |
316 |
$0.00 |
| 90685 |
|
64 |
64 |
$0.00 |
| 99072 |
|
138 |
133 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |