| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77,173 |
73,391 |
$5.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84,925 |
80,956 |
$4.46M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
64,350 |
63,415 |
$2.67M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
23,964 |
22,977 |
$1.81M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20,487 |
20,291 |
$1.62M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18,965 |
18,852 |
$1.51M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
10,031 |
9,968 |
$878K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32,128 |
30,693 |
$425K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12,242 |
11,790 |
$423K |
| 92552 |
|
29,798 |
28,344 |
$232K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,114 |
7,457 |
$201K |
| 99460 |
|
2,183 |
2,149 |
$142K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,063 |
2,021 |
$121K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,021 |
6,933 |
$119K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,593 |
4,532 |
$106K |
| 97802 |
|
6,713 |
5,680 |
$103K |
| 99215 |
Prolong outpt/office vis |
828 |
789 |
$92K |
| 0072A |
|
888 |
878 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,146 |
2,084 |
$63K |
| 0071A |
|
706 |
699 |
$56K |
| 0002A |
|
800 |
790 |
$49K |
| 99463 |
|
464 |
459 |
$34K |
| 0001A |
|
565 |
557 |
$30K |
| 99173 |
|
26,870 |
25,485 |
$18K |
| 83655 |
|
1,767 |
1,718 |
$17K |
| 94760 |
|
27,029 |
24,282 |
$17K |
| 99177 |
|
681 |
669 |
$14K |
| 96160 |
|
4,332 |
4,308 |
$11K |
| 85018 |
|
3,741 |
3,620 |
$8K |
| 99381 |
|
90 |
90 |
$7K |
| 0082A |
|
92 |
92 |
$7K |
| 99383 |
|
64 |
64 |
$6K |
| 0003A |
|
81 |
77 |
$6K |
| 0073A |
|
66 |
66 |
$5K |
| 0053A |
|
63 |
60 |
$5K |
| 96127 |
|
683 |
680 |
$3K |
| 0081A |
|
37 |
37 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
189 |
184 |
$3K |
| 87807 |
|
221 |
212 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
57 |
$2K |
| 90480 |
|
71 |
69 |
$2K |
| 0052A |
|
12 |
12 |
$1K |
| 0124A |
|
12 |
12 |
$996.00 |
| 99188 |
|
74 |
74 |
$943.73 |
| 90671 |
|
575 |
492 |
$935.56 |
| 94664 |
|
57 |
55 |
$810.74 |
| 99000 |
|
1,452 |
1,307 |
$714.25 |
| 69210 |
|
16 |
16 |
$524.74 |
| 99201 |
|
12 |
12 |
$296.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$183.83 |
| 36416 |
|
2,600 |
2,329 |
$157.10 |
| 90686 |
|
18,176 |
16,356 |
$81.42 |
| 90723 |
|
8,371 |
7,935 |
$60.82 |
| 81003 |
|
27 |
26 |
$44.49 |
| 85013 |
|
12 |
12 |
$38.44 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
57 |
55 |
$24.47 |
| 94761 |
|
17 |
15 |
$22.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
169 |
164 |
$20.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$12.29 |
| 90670 |
|
12,189 |
11,624 |
$8.00 |
| 91300 |
|
576 |
482 |
$0.06 |
| 90647 |
|
7,940 |
7,508 |
$0.00 |
| 90680 |
|
6,433 |
6,097 |
$0.00 |
| 90651 |
|
1,544 |
1,465 |
$0.00 |
| 91307 |
|
509 |
462 |
$0.00 |
| 90656 |
|
140 |
76 |
$0.00 |
| 90696 |
|
351 |
341 |
$0.00 |
| 90716 |
|
303 |
276 |
$0.00 |
| 90620 |
|
29 |
29 |
$0.00 |
| 90685 |
|
1,152 |
1,131 |
$0.00 |
| 90633 |
|
3,217 |
3,028 |
$0.00 |
| 90734 |
|
1,067 |
1,009 |
$0.00 |
| 99072 |
|
4,620 |
3,731 |
$0.00 |
| 90707 |
|
312 |
286 |
$0.00 |
| 90700 |
|
216 |
211 |
$0.00 |
| 90710 |
|
395 |
386 |
$0.00 |
| 90461 |
|
212 |
205 |
$0.00 |
| 90715 |
|
129 |
121 |
$0.00 |
| G9920 |
Screening performed and negative |
47 |
47 |
$0.00 |
| 91308 |
|
37 |
27 |
$0.00 |