| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,750 |
10,026 |
$492K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,665 |
3,586 |
$266K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,080 |
3,066 |
$234K |
| 99233 |
Prolong inpt eval add15 m |
2,252 |
893 |
$172K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,129 |
5,391 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,274 |
2,141 |
$143K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
886 |
880 |
$71K |
| 99460 |
|
570 |
564 |
$45K |
| 90461 |
|
3,810 |
3,517 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,243 |
2,826 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
342 |
333 |
$27K |
| 99462 |
|
566 |
558 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
265 |
257 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
527 |
515 |
$16K |
| 90670 |
|
1,885 |
1,872 |
$16K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
80 |
30 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
191 |
191 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
297 |
290 |
$12K |
| 99471 |
|
15 |
14 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
184 |
179 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
57 |
56 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
193 |
192 |
$7K |
| 87634 |
|
111 |
107 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
424 |
211 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
91 |
39 |
$5K |
| 90698 |
|
1,241 |
1,233 |
$5K |
| 90680 |
|
1,818 |
1,809 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
59 |
58 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
116 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
250 |
246 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
183 |
183 |
$2K |
| 90710 |
|
664 |
663 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
98 |
98 |
$1K |
| 99173 |
|
56 |
54 |
$1K |
| 90744 |
|
722 |
717 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 96160 |
|
396 |
393 |
$995.94 |
| 90633 |
|
1,190 |
1,190 |
$756.44 |
| 90677 |
|
636 |
636 |
$596.66 |
| 0071A |
|
12 |
12 |
$494.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
48 |
43 |
$486.14 |
| 0111A |
|
14 |
14 |
$482.40 |
| 92552 |
|
14 |
13 |
$470.57 |
| 90674 |
|
221 |
219 |
$416.46 |
| 0001A |
|
52 |
50 |
$401.20 |
| 90685 |
|
127 |
127 |
$400.68 |
| 90686 |
|
906 |
899 |
$374.93 |
| 90700 |
|
629 |
625 |
$293.12 |
| 90697 |
|
760 |
759 |
$175.28 |
| 90656 |
|
128 |
127 |
$111.89 |
| 90655 |
|
13 |
13 |
$17.24 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
86 |
86 |
$3.34 |
| 90648 |
|
218 |
215 |
$0.20 |
| 90713 |
|
52 |
52 |
$0.08 |
| 90651 |
|
37 |
37 |
$0.06 |
| 91307 |
|
36 |
36 |
$0.02 |
| 91308 |
|
12 |
12 |
$0.02 |
| 91311 |
|
49 |
48 |
$0.02 |
| 91300 |
|
52 |
50 |
$0.01 |
| 90381 |
|
50 |
50 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |