| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,519 |
22,856 |
$1.62M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19,419 |
17,154 |
$620K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,988 |
11,251 |
$503K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,732 |
9,062 |
$414K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,633 |
4,157 |
$310K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,618 |
3,250 |
$217K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,126 |
2,880 |
$206K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,841 |
1,640 |
$135K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,149 |
4,158 |
$104K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,866 |
5,843 |
$65K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,256 |
1,071 |
$53K |
| 92551 |
|
7,494 |
6,608 |
$48K |
| 96160 |
|
2,895 |
2,511 |
$42K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
563 |
523 |
$38K |
| 99460 |
|
669 |
624 |
$33K |
| 99173 |
|
5,841 |
5,110 |
$32K |
| 99381 |
|
387 |
319 |
$23K |
| 96161 |
|
1,840 |
1,492 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
791 |
716 |
$20K |
| 96127 |
|
4,958 |
4,267 |
$19K |
| 81002 |
|
7,613 |
6,383 |
$17K |
| 83655 |
|
1,594 |
1,382 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,112 |
880 |
$17K |
| 87807 |
|
1,467 |
1,217 |
$13K |
| 81025 |
|
2,529 |
2,054 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
803 |
634 |
$11K |
| 99383 |
|
128 |
111 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,686 |
3,206 |
$8K |
| 90651 |
|
908 |
763 |
$6K |
| 99382 |
|
86 |
79 |
$6K |
| 85018 |
|
2,722 |
2,313 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
74 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
133 |
$5K |
| 3008F |
|
10,331 |
9,065 |
$4K |
| 36416 |
|
2,450 |
2,108 |
$4K |
| 92567 |
|
297 |
239 |
$4K |
| A4614 |
Peak expiratory flow rate meter, hand held |
172 |
134 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
386 |
368 |
$2K |
| 90734 |
|
651 |
555 |
$2K |
| 99384 |
|
40 |
26 |
$2K |
| 90710 |
|
893 |
810 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
281 |
228 |
$1K |
| 90686 |
|
2,239 |
1,979 |
$1K |
| 90461 |
|
5,662 |
4,318 |
$976.43 |
| 90670 |
|
2,868 |
2,553 |
$778.18 |
| 90621 |
|
21 |
17 |
$679.37 |
| 90697 |
|
387 |
319 |
$447.40 |
| 90633 |
|
1,463 |
1,288 |
$292.73 |
| 99442 |
|
24 |
13 |
$227.52 |
| 90715 |
|
269 |
231 |
$185.13 |
| 99441 |
|
23 |
14 |
$184.78 |
| 90681 |
|
1,015 |
931 |
$170.00 |
| 90716 |
|
320 |
255 |
$124.02 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
774 |
622 |
$96.45 |
| 85013 |
|
15 |
14 |
$87.09 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
35 |
$79.37 |
| 90696 |
|
231 |
193 |
$67.82 |
| 94760 |
|
126 |
102 |
$40.34 |
| 90677 |
|
110 |
95 |
$17.00 |
| 90620 |
|
100 |
83 |
$6.00 |
| 90723 |
|
1,088 |
1,006 |
$2.00 |
| 99000 |
|
8,509 |
7,434 |
$1.00 |
| 90647 |
|
655 |
601 |
$1.00 |
| 90656 |
|
18 |
18 |
$1.00 |
| 90744 |
|
83 |
77 |
$0.00 |
| 90698 |
|
125 |
118 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |
| 90700 |
|
100 |
92 |
$0.00 |
| 90707 |
|
311 |
252 |
$0.00 |
| 90661 |
|
26 |
26 |
$0.00 |
| 90648 |
|
77 |
65 |
$0.00 |
| 90685 |
|
85 |
71 |
$0.00 |