| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89,598 |
83,836 |
$3.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,116 |
42,051 |
$2.92M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90,060 |
71,723 |
$2.57M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25,478 |
24,137 |
$1.47M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18,993 |
18,278 |
$1.06M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,937 |
15,039 |
$810K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,984 |
6,622 |
$433K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,907 |
6,679 |
$238K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,800 |
21,392 |
$179K |
| 90670 |
|
12,069 |
11,472 |
$147K |
| 90651 |
|
2,347 |
2,244 |
$83K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,714 |
1,382 |
$69K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,035 |
744 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,350 |
2,597 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,169 |
2,026 |
$49K |
| 90791 |
Psychiatric diagnostic evaluation |
546 |
503 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,470 |
3,201 |
$40K |
| 96127 |
|
10,628 |
9,477 |
$40K |
| 90837 |
Psychotherapy, 53 minutes with patient |
463 |
350 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
623 |
450 |
$30K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,447 |
1,144 |
$28K |
| 90648 |
|
10,570 |
10,249 |
$23K |
| 36416 |
|
8,017 |
7,511 |
$21K |
| 90633 |
|
2,982 |
2,849 |
$18K |
| 90686 |
|
20,863 |
19,539 |
$17K |
| 96161 |
|
5,250 |
4,878 |
$13K |
| 99177 |
|
1,089 |
1,049 |
$11K |
| D1206 |
Topical application of fluoride varnish |
667 |
661 |
$9K |
| 99381 |
|
136 |
128 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
136 |
115 |
$7K |
| 99215 |
Prolong outpt/office vis |
103 |
81 |
$7K |
| 90671 |
|
1,787 |
1,528 |
$6K |
| 90723 |
|
5,463 |
5,289 |
$6K |
| 0071A |
|
54 |
54 |
$5K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
67 |
63 |
$5K |
| 90734 |
|
606 |
583 |
$5K |
| 85018 |
|
2,632 |
2,474 |
$5K |
| 90480 |
|
139 |
125 |
$5K |
| 95012 |
|
561 |
470 |
$5K |
| 92587 |
|
176 |
165 |
$3K |
| 90680 |
|
4,085 |
3,859 |
$3K |
| 0072A |
|
25 |
25 |
$3K |
| 99188 |
|
111 |
103 |
$2K |
| 0001A |
|
12 |
12 |
$1K |
| 90685 |
|
1,177 |
1,171 |
$1K |
| 80061 |
Lipid panel |
123 |
116 |
$960.12 |
| 96160 |
|
2,905 |
2,658 |
$739.81 |
| 83655 |
|
56 |
56 |
$736.43 |
| 99383 |
|
20 |
12 |
$631.17 |
| 94761 |
|
256 |
200 |
$538.22 |
| 94060 |
|
12 |
12 |
$473.77 |
| 96380 |
|
30 |
27 |
$471.78 |
| 90619 |
|
502 |
451 |
$450.00 |
| 90707 |
|
738 |
721 |
$405.75 |
| 94664 |
|
54 |
38 |
$334.90 |
| 90672 |
|
14 |
14 |
$310.42 |
| 99173 |
|
132 |
121 |
$284.64 |
| 69210 |
|
12 |
12 |
$165.95 |
| 90710 |
|
483 |
471 |
$150.00 |
| A4617 |
Mouth piece |
231 |
173 |
$149.11 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$125.73 |
| 90715 |
|
217 |
208 |
$112.88 |
| 91308 |
|
70 |
69 |
$100.01 |
| 81003 |
|
44 |
37 |
$63.72 |
| 90716 |
|
187 |
181 |
$50.00 |
| 90696 |
|
221 |
214 |
$40.00 |
| 90656 |
|
1,683 |
1,637 |
$30.47 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
12 |
12 |
$27.12 |
| 90700 |
|
26 |
26 |
$20.00 |
| 90620 |
|
147 |
136 |
$20.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
708 |
678 |
$5.60 |
| 99072 |
|
6,711 |
6,486 |
$4.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.53 |
| 91300 |
|
12 |
12 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 90697 |
|
1,373 |
1,171 |
$0.00 |
| 94760 |
|
270 |
213 |
$0.00 |
| 99000 |
|
47 |
42 |
$0.00 |
| 91307 |
|
254 |
248 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |