| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,409 |
15,665 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,221 |
3,726 |
$427K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,647 |
2,627 |
$219K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,325 |
2,314 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,327 |
2,106 |
$164K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,510 |
1,506 |
$130K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,938 |
2,907 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,199 |
5,110 |
$46K |
| D0190 |
|
2,189 |
2,174 |
$36K |
| 92551 |
|
5,100 |
5,062 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,101 |
1,057 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
852 |
834 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,636 |
2,614 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,967 |
1,082 |
$26K |
| 83655 |
|
1,624 |
1,613 |
$22K |
| 81002 |
|
6,413 |
6,141 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,243 |
1,196 |
$17K |
| 92567 |
|
1,372 |
1,266 |
$12K |
| 36416 |
|
1,188 |
1,174 |
$8K |
| 99188 |
|
943 |
931 |
$7K |
| 87807 |
|
549 |
518 |
$5K |
| 96127 |
|
1,642 |
1,629 |
$5K |
| 99000 |
|
799 |
757 |
$5K |
| 85018 |
|
1,960 |
1,939 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
331 |
292 |
$2K |
| 99381 |
|
24 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
250 |
234 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$989.22 |
| 98966 |
|
229 |
223 |
$843.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
44 |
$734.28 |
| D1206 |
Topical application of fluoride varnish |
91 |
91 |
$669.48 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$643.20 |
| 90474 |
|
70 |
69 |
$635.75 |
| 94060 |
|
12 |
12 |
$417.75 |
| 99173 |
|
4,716 |
4,682 |
$317.25 |
| 90698 |
|
1,441 |
1,420 |
$194.84 |
| 90680 |
|
510 |
504 |
$43.10 |
| 99050 |
|
35 |
34 |
$40.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
29 |
$25.58 |
| G9007 |
Coordinated care fee, scheduled team conference |
922 |
901 |
$0.57 |
| G9002 |
Coordinated care fee, maintenance rate |
813 |
795 |
$0.48 |
| 90670 |
|
1,161 |
1,141 |
$0.00 |
| 1032F |
|
2,406 |
1,978 |
$0.00 |
| 4025F |
|
5,668 |
3,954 |
$0.00 |
| 1160F |
|
13,218 |
10,548 |
$0.00 |
| 90633 |
|
543 |
538 |
$0.00 |
| 4040F |
|
11,762 |
8,689 |
$0.00 |
| 3210F |
|
268 |
260 |
$0.00 |
| 1033F |
|
8,041 |
5,995 |
$0.00 |
| 1159F |
|
13,217 |
10,549 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
83 |
79 |
$0.00 |
| 99072 |
|
518 |
488 |
$0.00 |
| 3023F |
|
459 |
334 |
$0.00 |
| 90671 |
|
63 |
63 |
$0.00 |
| 90734 |
|
145 |
143 |
$0.00 |
| 90685 |
|
38 |
38 |
$0.00 |
| 90715 |
|
40 |
40 |
$0.00 |
| 90621 |
|
28 |
26 |
$0.00 |
| 90710 |
|
60 |
60 |
$0.00 |
| 90687 |
|
104 |
104 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 1036F |
|
2,321 |
2,006 |
$0.00 |
| 1031F |
|
12,182 |
9,696 |
$0.00 |
| 1000F |
|
2,384 |
2,064 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
159 |
145 |
$0.00 |
| 90651 |
|
406 |
403 |
$0.00 |
| 1111F |
|
4,314 |
3,569 |
$0.00 |
| 90744 |
|
415 |
405 |
$0.00 |
| 4140F |
|
2,759 |
1,987 |
$0.00 |
| 90686 |
|
554 |
549 |
$0.00 |
| 90696 |
|
55 |
55 |
$0.00 |
| 4037F |
|
373 |
371 |
$0.00 |
| 90677 |
|
233 |
231 |
$0.00 |
| 90656 |
|
32 |
32 |
$0.00 |
| 90619 |
|
83 |
83 |
$0.00 |
| 90620 |
|
38 |
38 |
$0.00 |
| 3044F |
|
54 |
37 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |