| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,631 |
15,970 |
$453K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,055 |
11,909 |
$255K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,122 |
5,113 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,108 |
4,104 |
$95K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,067 |
3,036 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,950 |
5,515 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,355 |
3,352 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,885 |
3,685 |
$75K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,649 |
6,641 |
$54K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
4,408 |
4,403 |
$29K |
| 99173 |
|
2,874 |
2,867 |
$29K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,418 |
4,411 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
13,352 |
13,252 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,047 |
996 |
$13K |
| 81002 |
|
13,028 |
12,840 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
932 |
530 |
$9K |
| 90461 |
|
481 |
481 |
$8K |
| 0071A |
|
243 |
228 |
$7K |
| 96127 |
|
4,427 |
4,419 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
200 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,145 |
1,145 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
350 |
337 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
707 |
694 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
3,691 |
3,686 |
$3K |
| 90670 |
|
2,439 |
2,436 |
$2K |
| 99441 |
|
134 |
130 |
$2K |
| 99381 |
|
119 |
111 |
$2K |
| 87081 |
|
510 |
501 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
246 |
246 |
$2K |
| 86580 |
|
214 |
211 |
$1K |
| 90651 |
|
939 |
938 |
$1K |
| 85018 |
|
794 |
791 |
$1K |
| 90671 |
|
420 |
413 |
$829.28 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
41 |
$773.13 |
| 90619 |
|
68 |
68 |
$729.16 |
| A4930 |
Gloves, sterile, per pair |
2,563 |
2,495 |
$681.60 |
| 90621 |
|
541 |
537 |
$542.49 |
| 99442 |
|
17 |
17 |
$535.39 |
| 90686 |
|
1,665 |
1,636 |
$491.54 |
| 90723 |
|
1,089 |
1,089 |
$350.00 |
| 90715 |
|
161 |
161 |
$272.76 |
| 90647 |
|
1,194 |
1,194 |
$231.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$215.00 |
| 90633 |
|
988 |
988 |
$194.36 |
| 90620 |
|
119 |
119 |
$163.84 |
| 90674 |
|
234 |
234 |
$139.90 |
| A7015 |
Aerosol mask, used with dme nebulizer |
280 |
272 |
$139.73 |
| 90661 |
|
259 |
259 |
$123.22 |
| 90658 |
|
347 |
346 |
$111.92 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
45 |
45 |
$77.13 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
322 |
311 |
$56.78 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
266 |
256 |
$34.81 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
54 |
54 |
$8.93 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,318 |
3,306 |
$5.25 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
16 |
$0.52 |
| 91307 |
|
229 |
214 |
$0.12 |
| 90685 |
|
151 |
151 |
$0.00 |
| 90710 |
|
83 |
83 |
$0.00 |
| 90734 |
|
511 |
511 |
$0.00 |
| 90655 |
|
145 |
144 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90680 |
|
1,403 |
1,396 |
$0.00 |
| 90697 |
|
156 |
156 |
$0.00 |
| 36416 |
|
589 |
586 |
$0.00 |
| 90716 |
|
117 |
117 |
$0.00 |
| 90696 |
|
69 |
69 |
$0.00 |
| 90657 |
|
16 |
16 |
$0.00 |