| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77,107 |
67,993 |
$3.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,619 |
22,512 |
$1.55M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38,394 |
33,142 |
$1.53M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,979 |
16,389 |
$1.18M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,686 |
13,895 |
$931K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,058 |
10,033 |
$713K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39,422 |
31,421 |
$667K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,836 |
6,337 |
$225K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21,661 |
9,776 |
$223K |
| 99177 |
|
42,995 |
38,866 |
$218K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,821 |
2,525 |
$204K |
| 99460 |
|
4,365 |
3,757 |
$192K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,786 |
17,946 |
$161K |
| 54150 |
|
1,321 |
1,174 |
$152K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,190 |
2,717 |
$143K |
| 92551 |
|
19,733 |
17,840 |
$127K |
| 96161 |
|
11,837 |
9,815 |
$108K |
| 96160 |
|
12,054 |
10,265 |
$106K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,038 |
2,821 |
$105K |
| 96127 |
|
21,697 |
18,145 |
$80K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,153 |
994 |
$69K |
| 99462 |
|
2,949 |
2,123 |
$66K |
| 3008F |
|
35,068 |
31,352 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,256 |
2,897 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,453 |
1,302 |
$38K |
| 90670 |
|
8,349 |
7,693 |
$22K |
| 90461 |
|
19,616 |
17,673 |
$17K |
| 36416 |
|
7,573 |
6,257 |
$8K |
| 99464 |
|
164 |
130 |
$7K |
| 90677 |
|
2,084 |
1,973 |
$7K |
| 90686 |
|
11,136 |
10,312 |
$7K |
| 90723 |
|
6,211 |
5,789 |
$6K |
| 83655 |
|
745 |
644 |
$6K |
| 85018 |
|
2,765 |
2,518 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
812 |
666 |
$4K |
| 90651 |
|
501 |
427 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
66 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,194 |
1,988 |
$4K |
| 90734 |
|
366 |
331 |
$2K |
| 80061 |
Lipid panel |
191 |
166 |
$2K |
| 90633 |
|
2,536 |
2,281 |
$2K |
| 96380 |
|
101 |
99 |
$2K |
| 90681 |
|
1,733 |
1,629 |
$2K |
| 87807 |
|
195 |
176 |
$1K |
| 90648 |
|
6,937 |
6,518 |
$1K |
| 99051 |
|
360 |
343 |
$1K |
| 99173 |
|
335 |
288 |
$962.40 |
| 90661 |
|
824 |
801 |
$872.91 |
| 81003 |
|
504 |
437 |
$752.06 |
| 90710 |
|
100 |
89 |
$638.93 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
35 |
$597.91 |
| 90647 |
|
1,699 |
1,549 |
$557.80 |
| 90656 |
|
293 |
291 |
$328.27 |
| 90688 |
|
243 |
231 |
$307.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
17 |
$304.22 |
| 90620 |
|
25 |
25 |
$249.15 |
| 90716 |
|
293 |
272 |
$144.82 |
| 90685 |
|
273 |
247 |
$142.32 |
| 90696 |
|
71 |
64 |
$111.09 |
| 94761 |
|
16 |
15 |
$99.85 |
| 90707 |
|
280 |
258 |
$83.46 |
| 90674 |
|
278 |
170 |
$74.68 |
| 90381 |
|
44 |
42 |
$18.20 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
18 |
15 |
$13.85 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$13.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$11.93 |
| 99000 |
|
20,074 |
17,772 |
$8.49 |
| A7015 |
Aerosol mask, used with dme nebulizer |
31 |
27 |
$4.05 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
30 |
26 |
$1.20 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |
| 90700 |
|
83 |
62 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90680 |
|
17 |
15 |
$0.00 |
| A4616 |
Tubing (oxygen), per foot |
31 |
27 |
$0.00 |
| 90698 |
|
33 |
31 |
$0.00 |