| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
98,611 |
83,506 |
$6.02M |
| 99199 |
Unlisted special service, procedure or report |
516,643 |
308,694 |
$2.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,372 |
22,956 |
$2.38M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49,271 |
43,367 |
$1.85M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,091 |
13,480 |
$1.34M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,192 |
10,094 |
$1.04M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,615 |
8,513 |
$827K |
| 87428 |
|
14,379 |
11,219 |
$814K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,364 |
4,766 |
$541K |
| 99401 |
|
10,385 |
7,574 |
$338K |
| D0145 |
Oral evaluation for a patient under three years of age |
9,816 |
8,838 |
$327K |
| 99051 |
|
12,932 |
11,096 |
$293K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24,714 |
21,723 |
$221K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19,493 |
17,273 |
$173K |
| D1206 |
Topical application of fluoride varnish |
9,818 |
8,838 |
$144K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,070 |
9,750 |
$142K |
| 87070 |
|
7,725 |
6,856 |
$75K |
| 96127 |
|
16,430 |
14,267 |
$72K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,351 |
2,598 |
$71K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
1,615 |
1,427 |
$57K |
| 0002A |
|
978 |
845 |
$57K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,316 |
1,000 |
$45K |
| 36415 |
Collection of venous blood by venipuncture |
17,221 |
15,883 |
$44K |
| 0001A |
|
746 |
685 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,240 |
2,018 |
$42K |
| 92551 |
|
27,978 |
25,095 |
$40K |
| 0072A |
|
540 |
459 |
$32K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,359 |
2,072 |
$26K |
| 0071A |
|
461 |
353 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,143 |
972 |
$23K |
| 94664 |
|
1,958 |
1,730 |
$20K |
| 99173 |
|
29,375 |
26,019 |
$19K |
| 90651 |
|
845 |
771 |
$18K |
| 90461 |
|
14,041 |
13,233 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
389 |
368 |
$14K |
| 83655 |
|
968 |
887 |
$13K |
| 90686 |
|
10,607 |
9,658 |
$13K |
| 36416 |
|
15,680 |
12,723 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
814 |
698 |
$8K |
| 0054A |
|
122 |
91 |
$7K |
| 90473 |
|
318 |
285 |
$6K |
| 90672 |
|
3,371 |
2,892 |
$5K |
| 0124A |
|
79 |
57 |
$4K |
| 90734 |
|
183 |
179 |
$4K |
| 90674 |
|
4,051 |
3,358 |
$3K |
| 0003A |
|
55 |
42 |
$3K |
| 83718 |
|
254 |
229 |
$2K |
| 0082A |
|
34 |
27 |
$2K |
| 0052A |
|
44 |
27 |
$2K |
| 0074A |
|
53 |
27 |
$2K |
| 0081A |
|
31 |
20 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,148 |
989 |
$2K |
| 69210 |
|
49 |
40 |
$2K |
| 82465 |
|
254 |
229 |
$1K |
| 92587 |
|
47 |
36 |
$1K |
| 0154A |
|
27 |
15 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
29 |
29 |
$907.70 |
| 0004A |
|
14 |
12 |
$841.04 |
| 91307 |
|
1,205 |
892 |
$707.72 |
| 87420 |
|
49 |
46 |
$640.55 |
| 99070 |
|
88 |
85 |
$629.06 |
| 90715 |
|
91 |
85 |
$568.68 |
| 90619 |
|
197 |
173 |
$457.20 |
| 90661 |
|
1,018 |
962 |
$295.48 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
15 |
15 |
$254.90 |
| 96380 |
|
18 |
12 |
$222.82 |
| 81002 |
|
59 |
51 |
$154.17 |
| 90707 |
|
678 |
638 |
$148.74 |
| 91305 |
|
347 |
247 |
$134.38 |
| 90716 |
|
670 |
631 |
$124.91 |
| 99177 |
|
202 |
166 |
$96.57 |
| 90688 |
|
56 |
52 |
$81.75 |
| 90633 |
|
1,234 |
1,165 |
$65.24 |
| 90744 |
|
877 |
806 |
$55.76 |
| 90660 |
|
326 |
317 |
$50.88 |
| 85013 |
|
12 |
12 |
$35.04 |
| 91300 |
|
1,834 |
1,452 |
$34.65 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
78 |
66 |
$31.79 |
| 90700 |
|
804 |
716 |
$29.74 |
| 90698 |
|
2,672 |
2,439 |
$9.45 |
| 99000 |
|
6,158 |
5,061 |
$0.02 |
| 90670 |
|
5,273 |
4,781 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
530 |
472 |
$0.00 |
| 90671 |
|
506 |
453 |
$0.00 |
| 90710 |
|
18 |
14 |
$0.00 |
| 90685 |
|
957 |
948 |
$0.00 |
| 91308 |
|
159 |
114 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 91312 |
|
72 |
55 |
$0.00 |
| G9920 |
Screening performed and negative |
67 |
67 |
$0.00 |
| 90713 |
|
69 |
52 |
$0.00 |
| 90680 |
|
2,048 |
1,863 |
$0.00 |
| 91315 |
|
27 |
15 |
$0.00 |