| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,064 |
22,533 |
$2.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,718 |
23,168 |
$1.77M |
| 99199 |
Unlisted special service, procedure or report |
256,555 |
142,813 |
$1.59M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,836 |
17,155 |
$1.08M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,387 |
7,463 |
$780K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,180 |
6,843 |
$723K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,220 |
4,480 |
$494K |
| 99401 |
|
8,959 |
6,391 |
$291K |
| D0145 |
Oral evaluation for a patient under three years of age |
7,721 |
6,921 |
$264K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,234 |
1,841 |
$231K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,357 |
11,807 |
$127K |
| D1206 |
Topical application of fluoride varnish |
7,722 |
6,920 |
$115K |
| 99051 |
|
4,256 |
3,721 |
$101K |
| 94664 |
|
7,848 |
6,518 |
$81K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,283 |
2,408 |
$70K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,311 |
2,902 |
$63K |
| 80061 |
Lipid panel |
3,689 |
3,114 |
$57K |
| 99215 |
Prolong outpt/office vis |
472 |
392 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,425 |
1,289 |
$53K |
| 96127 |
|
12,780 |
10,162 |
$51K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
789 |
708 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,195 |
1,981 |
$29K |
| 92551 |
|
14,218 |
12,157 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,842 |
1,726 |
$17K |
| 83655 |
|
1,068 |
990 |
$15K |
| 87070 |
|
1,579 |
1,426 |
$15K |
| 82947 |
|
2,976 |
2,491 |
$14K |
| 0072A |
|
249 |
170 |
$13K |
| 99173 |
|
15,449 |
13,302 |
$12K |
| 0071A |
|
245 |
150 |
$11K |
| 90651 |
|
313 |
298 |
$11K |
| 90688 |
|
6,679 |
5,855 |
$10K |
| 96160 |
|
2,882 |
2,479 |
$9K |
| 96161 |
|
2,704 |
1,963 |
$9K |
| 0001A |
|
162 |
114 |
$7K |
| 99070 |
|
1,052 |
783 |
$7K |
| 0002A |
|
96 |
78 |
$6K |
| G9919 |
Screening performed and positive and provision of recommendations |
256 |
159 |
$5K |
| 85018 |
|
1,718 |
1,409 |
$4K |
| 87428 |
|
44 |
32 |
$3K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
64 |
63 |
$3K |
| 99381 |
|
25 |
24 |
$2K |
| 90734 |
|
79 |
78 |
$2K |
| 0124A |
|
26 |
13 |
$1K |
| 90480 |
|
28 |
25 |
$1K |
| 90686 |
|
2,676 |
2,164 |
$1K |
| 0054A |
|
19 |
13 |
$1K |
| 0074A |
|
25 |
14 |
$1K |
| 88738 |
|
188 |
147 |
$1K |
| 0081A |
|
15 |
12 |
$975.00 |
| 0154A |
|
26 |
14 |
$845.00 |
| 69210 |
|
27 |
24 |
$844.12 |
| 94760 |
|
5,801 |
4,896 |
$747.69 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
40 |
$590.44 |
| 90620 |
|
13 |
13 |
$386.10 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
27 |
25 |
$241.45 |
| 90671 |
|
756 |
668 |
$221.83 |
| 90670 |
|
4,200 |
3,728 |
$207.29 |
| 81003 |
|
53 |
51 |
$128.16 |
| 90633 |
|
964 |
909 |
$102.24 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
42 |
39 |
$98.80 |
| A7015 |
Aerosol mask, used with dme nebulizer |
42 |
39 |
$71.37 |
| 90656 |
|
917 |
848 |
$20.53 |
| 90647 |
|
3,232 |
2,891 |
$0.00 |
| 36416 |
|
10,811 |
9,297 |
$0.00 |
| 99000 |
|
7,014 |
5,357 |
$0.00 |
| 91305 |
|
145 |
106 |
$0.00 |
| 90677 |
|
356 |
347 |
$0.00 |
| 90744 |
|
1,023 |
893 |
$0.00 |
| 90716 |
|
505 |
471 |
$0.00 |
| 90680 |
|
2,601 |
2,297 |
$0.00 |
| 91307 |
|
665 |
449 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
42 |
39 |
$0.00 |
| 90619 |
|
15 |
13 |
$0.00 |
| 91315 |
|
26 |
14 |
$0.00 |
| 90700 |
|
7,337 |
6,523 |
$0.00 |
| 90707 |
|
513 |
469 |
$0.00 |
| 99177 |
|
4,937 |
4,405 |
$0.00 |
| 90713 |
|
5,069 |
4,531 |
$0.00 |
| 91312 |
|
26 |
13 |
$0.00 |
| 90461 |
|
155 |
155 |
$0.00 |
| 90687 |
|
1,346 |
1,305 |
$0.00 |
| 91300 |
|
344 |
246 |
$0.00 |
| 91308 |
|
91 |
69 |
$0.00 |