| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
211,863 |
185,929 |
$8.00M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
22,763 |
21,795 |
$1.90M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19,478 |
18,683 |
$1.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,659 |
20,263 |
$1.29M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16,099 |
15,375 |
$1.13M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,222 |
11,715 |
$1.00M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21,657 |
20,053 |
$617K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46,247 |
44,027 |
$602K |
| 92552 |
|
35,327 |
33,840 |
$425K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65,271 |
33,345 |
$356K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,887 |
9,246 |
$297K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36,452 |
34,832 |
$194K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,803 |
1,748 |
$128K |
| 99188 |
|
17,860 |
17,083 |
$124K |
| 90670 |
|
9,451 |
8,818 |
$112K |
| 99381 |
|
1,319 |
1,212 |
$98K |
| 90651 |
|
4,803 |
4,496 |
$32K |
| 99383 |
|
320 |
299 |
$31K |
| 90461 |
|
20,456 |
18,815 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
231 |
227 |
$26K |
| 85018 |
|
35,249 |
33,294 |
$25K |
| 83655 |
|
7,829 |
7,390 |
$24K |
| 81003 |
|
22,684 |
21,191 |
$20K |
| 99215 |
Prolong outpt/office vis |
220 |
212 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
407 |
387 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
193 |
185 |
$16K |
| 87807 |
|
4,174 |
3,929 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,977 |
1,939 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,042 |
1,779 |
$13K |
| 99382 |
|
120 |
105 |
$12K |
| 80061 |
Lipid panel |
4,822 |
4,535 |
$11K |
| 0001A |
|
532 |
385 |
$10K |
| 96160 |
|
22,156 |
21,293 |
$10K |
| 0002A |
|
323 |
247 |
$8K |
| 99384 |
|
84 |
83 |
$8K |
| 90686 |
|
5,591 |
5,445 |
$7K |
| 81025 |
|
2,523 |
2,380 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
82 |
75 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
942 |
890 |
$4K |
| 90734 |
|
2,745 |
2,589 |
$4K |
| 94760 |
|
64,644 |
54,716 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
716 |
637 |
$3K |
| 90716 |
|
4,790 |
4,468 |
$3K |
| 90671 |
|
919 |
918 |
$3K |
| 90700 |
|
2,404 |
2,200 |
$2K |
| 91300 |
|
946 |
667 |
$2K |
| 96161 |
|
8,634 |
7,954 |
$2K |
| 90633 |
|
5,558 |
5,160 |
$2K |
| 90707 |
|
4,790 |
4,459 |
$1K |
| 90698 |
|
3,395 |
3,094 |
$1K |
| 90620 |
|
771 |
740 |
$1K |
| 90715 |
|
1,139 |
1,069 |
$877.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$779.39 |
| 90744 |
|
2,241 |
2,052 |
$577.31 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40 |
40 |
$549.02 |
| 99177 |
|
22,694 |
20,649 |
$452.65 |
| 36416 |
|
31,146 |
27,759 |
$450.75 |
| 96127 |
|
13,263 |
11,859 |
$443.51 |
| 90648 |
|
5,707 |
5,533 |
$296.45 |
| 90723 |
|
4,259 |
4,137 |
$271.06 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
11,741 |
10,369 |
$181.28 |
| 90685 |
|
213 |
200 |
$180.90 |
| 90696 |
|
618 |
595 |
$175.32 |
| 90656 |
|
448 |
447 |
$165.40 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
587 |
522 |
$161.69 |
| 69209 |
|
43 |
42 |
$115.48 |
| 90680 |
|
5,502 |
5,180 |
$98.36 |
| 99173 |
|
12,045 |
10,666 |
$82.83 |
| 90713 |
|
560 |
512 |
$20.00 |
| 92551 |
|
334 |
307 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |