| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,619 |
10,809 |
$776K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,219 |
11,369 |
$718K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,417 |
5,975 |
$673K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,416 |
6,009 |
$610K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,803 |
5,088 |
$556K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,850 |
3,637 |
$355K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,831 |
1,707 |
$183K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,254 |
5,922 |
$146K |
| 99188 |
|
11,948 |
11,179 |
$134K |
| 99058 |
|
4,927 |
4,441 |
$79K |
| 99253 |
|
860 |
769 |
$73K |
| 94010 |
|
1,992 |
1,683 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,143 |
2,903 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,874 |
5,338 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,179 |
1,079 |
$43K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,188 |
1,031 |
$24K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
958 |
863 |
$18K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,270 |
1,155 |
$17K |
| 94760 |
|
8,146 |
6,631 |
$17K |
| 99383 |
|
169 |
163 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,005 |
1,901 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
629 |
580 |
$14K |
| 94667 |
|
544 |
498 |
$12K |
| 99463 |
|
489 |
447 |
$11K |
| 99401 |
|
348 |
318 |
$10K |
| 87807 |
|
1,087 |
1,020 |
$8K |
| 92552 |
|
471 |
436 |
$7K |
| 86580 |
|
1,147 |
1,076 |
$5K |
| 92015 |
Determination of refractive state |
688 |
633 |
$5K |
| 99384 |
|
42 |
37 |
$5K |
| 92567 |
|
315 |
239 |
$4K |
| 81002 |
|
3,178 |
2,843 |
$4K |
| 96127 |
|
645 |
581 |
$3K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,260 |
1,145 |
$3K |
| 85018 |
|
1,703 |
1,593 |
$2K |
| 36416 |
|
1,760 |
1,656 |
$2K |
| A7015 |
Aerosol mask, used with dme nebulizer |
1,239 |
1,127 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 84030 |
|
686 |
644 |
$1K |
| 94761 |
|
286 |
237 |
$730.62 |
| 90700 |
|
4,972 |
4,728 |
$622.74 |
| J7633 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram |
384 |
331 |
$601.67 |
| 93000 |
|
41 |
38 |
$597.89 |
| 90713 |
|
4,123 |
3,924 |
$327.26 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
110 |
91 |
$297.05 |
| 92587 |
|
28 |
25 |
$252.20 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
174 |
159 |
$123.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
27 |
$78.20 |
| 90671 |
|
847 |
808 |
$68.70 |
| 90647 |
|
1,213 |
1,159 |
$66.10 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
926 |
832 |
$64.12 |
| 94729 |
|
15 |
14 |
$50.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
306 |
278 |
$49.28 |
| 90648 |
|
2,632 |
2,504 |
$44.05 |
| A6203 |
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
19 |
15 |
$7.44 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
212 |
169 |
$5.31 |
| 90651 |
|
645 |
579 |
$0.39 |
| 90686 |
|
3,517 |
3,251 |
$0.03 |
| 90619 |
|
131 |
123 |
$0.03 |
| 90680 |
|
2,809 |
2,686 |
$0.01 |
| 90744 |
|
2,346 |
2,234 |
$0.01 |
| 90716 |
|
1,736 |
1,632 |
$0.01 |
| 90670 |
|
3,107 |
2,949 |
$0.01 |
| 90715 |
|
111 |
104 |
$0.01 |
| 97802 |
|
115 |
108 |
$0.00 |
| 99000 |
|
1,028 |
958 |
$0.00 |
| 90657 |
|
359 |
347 |
$0.00 |
| 2015F |
|
30 |
29 |
$0.00 |
| 2016F |
|
12 |
12 |
$0.00 |
| 90633 |
|
1,995 |
1,889 |
$0.00 |
| 90707 |
|
1,791 |
1,676 |
$0.00 |
| 90658 |
|
396 |
378 |
$0.00 |
| 90734 |
|
213 |
185 |
$0.00 |
| 90710 |
|
29 |
28 |
$0.00 |
| 1039F |
|
30 |
29 |
$0.00 |