| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,552 |
23,904 |
$1.73M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,676 |
6,675 |
$619K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,955 |
6,509 |
$604K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,931 |
7,506 |
$581K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,416 |
13,355 |
$576K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,876 |
4,876 |
$449K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,290 |
2,290 |
$231K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,121 |
4,107 |
$76K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,983 |
1,931 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
956 |
946 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,898 |
2,862 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,580 |
4,580 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
562 |
548 |
$27K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
16 |
16 |
$26K |
| 59426 |
|
25 |
25 |
$19K |
| 59425 |
|
36 |
36 |
$15K |
| 87400 |
|
622 |
603 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
150 |
150 |
$10K |
| 96127 |
|
1,862 |
1,815 |
$9K |
| 99460 |
|
107 |
106 |
$9K |
| 87807 |
|
570 |
563 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
50 |
$5K |
| 87428 |
|
156 |
155 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
38 |
38 |
$4K |
| 99383 |
|
37 |
37 |
$4K |
| 90473 |
|
172 |
171 |
$3K |
| 99381 |
|
27 |
27 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
81 |
78 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
228 |
225 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
154 |
152 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$1K |
| 83655 |
|
92 |
91 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
30 |
30 |
$951.74 |
| 36415 |
Collection of venous blood by venipuncture |
359 |
320 |
$916.49 |
| 80053 |
Comprehensive metabolic panel |
94 |
94 |
$885.23 |
| 80061 |
Lipid panel |
70 |
68 |
$843.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$768.60 |
| 74018 |
|
27 |
27 |
$684.32 |
| 82950 |
|
130 |
130 |
$574.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
35 |
$469.18 |
| 80050 |
General health panel |
12 |
12 |
$374.88 |
| 90677 |
|
15 |
15 |
$279.05 |
| 92551 |
|
26 |
26 |
$252.94 |
| 99173 |
|
94 |
94 |
$234.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
24 |
$226.69 |
| 85014 |
|
92 |
92 |
$213.15 |
| 85018 |
|
92 |
92 |
$213.15 |
| 90620 |
|
119 |
119 |
$197.16 |
| 90686 |
|
3,434 |
3,431 |
$143.95 |
| 90734 |
|
559 |
559 |
$138.58 |
| 84439 |
|
12 |
12 |
$96.24 |
| A7015 |
Aerosol mask, used with dme nebulizer |
46 |
46 |
$62.55 |
| 90633 |
|
1,330 |
1,330 |
$35.91 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
78 |
74 |
$9.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$5.57 |
| 90672 |
|
246 |
245 |
$0.01 |
| 90681 |
|
944 |
944 |
$0.00 |
| 96160 |
|
6,529 |
6,526 |
$0.00 |
| 90700 |
|
130 |
130 |
$0.00 |
| 90710 |
|
370 |
370 |
$0.00 |
| 90670 |
|
2,916 |
2,916 |
$0.00 |
| 90715 |
|
116 |
116 |
$0.00 |
| 90707 |
|
59 |
59 |
$0.00 |
| 90651 |
|
463 |
463 |
$0.00 |
| 90647 |
|
2,177 |
2,177 |
$0.00 |
| 90696 |
|
172 |
172 |
$0.00 |
| 90723 |
|
2,158 |
2,158 |
$0.00 |
| 90716 |
|
57 |
57 |
$0.00 |