| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,923 |
6,221 |
$373K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,229 |
5,945 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,196 |
2,969 |
$242K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,850 |
1,820 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,797 |
1,771 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,503 |
1,351 |
$98K |
| 90461 |
|
2,391 |
2,117 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,134 |
1,120 |
$86K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
423 |
408 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
656 |
633 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
550 |
539 |
$13K |
| 96127 |
|
2,843 |
2,249 |
$12K |
| 87631 |
|
103 |
100 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
723 |
715 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
835 |
589 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
159 |
$3K |
| 81003 |
|
1,650 |
1,625 |
$3K |
| 0071A |
|
73 |
73 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
51 |
51 |
$2K |
| 0072A |
|
57 |
57 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
74 |
$2K |
| 83655 |
|
157 |
157 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
119 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
84 |
82 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
47 |
46 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
229 |
218 |
$1K |
| 90651 |
|
533 |
531 |
$1K |
| 0124A |
|
28 |
28 |
$985.53 |
| 90480 |
|
31 |
31 |
$890.00 |
| 0001A |
|
12 |
12 |
$453.15 |
| 0002A |
|
12 |
12 |
$453.15 |
| 0054A |
|
12 |
12 |
$452.37 |
| 0051A |
|
12 |
12 |
$433.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
27 |
$427.46 |
| 90670 |
|
892 |
892 |
$400.00 |
| 90686 |
|
3,204 |
3,200 |
$373.26 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
16 |
15 |
$353.10 |
| 0154A |
|
14 |
14 |
$340.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
33 |
30 |
$323.62 |
| 87634 |
|
12 |
12 |
$226.86 |
| 99000 |
|
1,131 |
1,070 |
$205.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$156.10 |
| 36415 |
Collection of venous blood by venipuncture |
300 |
289 |
$65.76 |
| 81025 |
|
13 |
12 |
$54.21 |
| 90633 |
|
189 |
189 |
$31.95 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$31.20 |
| 90744 |
|
105 |
105 |
$26.00 |
| 96160 |
|
39 |
39 |
$18.02 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
33 |
31 |
$1.21 |
| 91315 |
|
14 |
14 |
$0.06 |
| 90685 |
|
157 |
156 |
$0.01 |
| 91307 |
|
199 |
186 |
$0.00 |
| 90698 |
|
388 |
388 |
$0.00 |
| 90680 |
|
364 |
364 |
$0.00 |
| 90677 |
|
128 |
128 |
$0.00 |
| 90656 |
|
99 |
99 |
$0.00 |
| 91305 |
|
34 |
34 |
$0.00 |
| 90697 |
|
68 |
68 |
$0.00 |
| 90647 |
|
47 |
47 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |
| 90734 |
|
253 |
251 |
$0.00 |
| 90710 |
|
264 |
263 |
$0.00 |
| 99072 |
|
1,186 |
1,113 |
$0.00 |
| 90715 |
|
53 |
51 |
$0.00 |
| 99173 |
|
45 |
45 |
$0.00 |
| 3725F |
|
92 |
92 |
$0.00 |
| 91312 |
|
36 |
36 |
$0.00 |