| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165,295 |
154,827 |
$3.40M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47,806 |
47,543 |
$2.40M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50,625 |
50,267 |
$2.14M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34,054 |
33,874 |
$1.89M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37,741 |
35,858 |
$1.57M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
209,071 |
101,068 |
$1.31M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,698 |
36,486 |
$955K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51,551 |
50,665 |
$394K |
| 99381 |
|
7,640 |
7,519 |
$391K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,279 |
10,077 |
$386K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35,384 |
17,436 |
$288K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26,732 |
26,483 |
$184K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36,179 |
35,933 |
$166K |
| 99383 |
|
2,638 |
2,618 |
$147K |
| 90461 |
|
35,762 |
29,618 |
$136K |
| 99382 |
|
1,609 |
1,598 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,179 |
5,111 |
$81K |
| 99384 |
|
1,025 |
1,025 |
$56K |
| 0071A |
|
1,959 |
1,945 |
$52K |
| 0072A |
|
1,717 |
1,713 |
$46K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,816 |
3,827 |
$34K |
| 99429 |
|
2,970 |
2,955 |
$27K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,740 |
2,588 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,270 |
2,183 |
$22K |
| 87807 |
|
3,671 |
3,591 |
$19K |
| 83655 |
|
4,192 |
4,162 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
578 |
571 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,503 |
3,422 |
$10K |
| 0002A |
|
363 |
360 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
360 |
359 |
$9K |
| 0001A |
|
321 |
319 |
$9K |
| 81003 |
|
8,419 |
8,140 |
$9K |
| 92551 |
|
7,483 |
7,462 |
$8K |
| 92552 |
|
3,055 |
3,045 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
202 |
196 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
849 |
751 |
$6K |
| 69210 |
|
212 |
205 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
71 |
$4K |
| 99050 |
|
1,460 |
1,407 |
$4K |
| 0081A |
|
162 |
154 |
$4K |
| 0082A |
|
139 |
134 |
$4K |
| 94760 |
|
7,878 |
7,566 |
$4K |
| 17110 |
|
50 |
50 |
$3K |
| 0003A |
|
99 |
97 |
$2K |
| 0073A |
|
52 |
48 |
$1K |
| 96380 |
|
65 |
65 |
$1K |
| 96160 |
|
357 |
356 |
$1K |
| 85027 |
|
523 |
505 |
$1K |
| 86703 |
|
391 |
387 |
$979.63 |
| 69209 |
|
112 |
107 |
$972.86 |
| 85014 |
|
1,751 |
1,747 |
$769.18 |
| 85018 |
|
1,768 |
1,763 |
$732.31 |
| 90473 |
|
105 |
104 |
$547.23 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
37 |
35 |
$325.19 |
| 90677 |
|
6,549 |
6,484 |
$270.09 |
| 90619 |
|
7,217 |
7,164 |
$206.04 |
| 86580 |
|
31 |
31 |
$158.58 |
| 94761 |
|
605 |
584 |
$111.24 |
| 82016 |
|
669 |
661 |
$70.15 |
| 0154A |
|
28 |
28 |
$40.00 |
| 0124A |
|
27 |
27 |
$40.00 |
| 90744 |
|
16,890 |
16,693 |
$25.61 |
| 90671 |
|
5,439 |
5,408 |
$23.68 |
| 96381 |
|
21 |
21 |
$16.56 |
| 82128 |
|
526 |
521 |
$12.72 |
| 99173 |
|
19,050 |
18,906 |
$1.91 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
696 |
686 |
$0.39 |
| 90686 |
|
35,421 |
35,115 |
$0.32 |
| 90656 |
|
3,492 |
3,484 |
$0.09 |
| 90620 |
|
6,161 |
6,098 |
$0.02 |
| 90651 |
|
16,580 |
16,417 |
$0.01 |
| 90381 |
|
137 |
135 |
$0.01 |
| 90698 |
|
32,458 |
32,124 |
$0.00 |
| 90696 |
|
7,145 |
7,084 |
$0.00 |
| 91307 |
|
1,760 |
1,622 |
$0.00 |
| 36416 |
|
10,271 |
10,031 |
$0.00 |
| 90680 |
|
15,144 |
14,993 |
$0.00 |
| 90716 |
|
6,682 |
6,643 |
$0.00 |
| 91315 |
|
27 |
27 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$0.00 |
| 90633 |
|
18,362 |
18,160 |
$0.00 |
| 90710 |
|
10,844 |
10,708 |
$0.00 |
| 94664 |
|
950 |
922 |
$0.00 |
| 90681 |
|
3,294 |
3,264 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
1,276 |
1,222 |
$0.00 |
| 90707 |
|
6,613 |
6,576 |
$0.00 |
| 90670 |
|
19,735 |
19,523 |
$0.00 |
| 90715 |
|
6,283 |
6,216 |
$0.00 |
| 90734 |
|
5,082 |
5,050 |
$0.00 |
| 99051 |
|
600 |
587 |
$0.00 |
| 90380 |
|
32 |
29 |
$0.00 |
| 91308 |
|
155 |
151 |
$0.00 |
| 91300 |
|
176 |
166 |
$0.00 |
| 91312 |
|
15 |
15 |
$0.00 |