| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,804 |
17,539 |
$1.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,943 |
9,899 |
$1.27M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,121 |
3,996 |
$566K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,350 |
3,775 |
$499K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,228 |
2,126 |
$255K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,758 |
7,880 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
701 |
682 |
$90K |
| 90461 |
|
7,866 |
4,158 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,215 |
3,160 |
$51K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,455 |
2,359 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
778 |
632 |
$46K |
| 90670 |
|
2,029 |
1,965 |
$43K |
| 99460 |
|
457 |
431 |
$41K |
| 99188 |
|
2,575 |
2,479 |
$23K |
| 92552 |
|
586 |
543 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,773 |
2,659 |
$17K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
173 |
159 |
$6K |
| 90698 |
|
1,561 |
1,511 |
$5K |
| 99221 |
|
39 |
38 |
$5K |
| 90677 |
|
112 |
109 |
$4K |
| 99381 |
|
28 |
25 |
$3K |
| 99462 |
|
236 |
191 |
$3K |
| 96127 |
|
2,234 |
2,027 |
$3K |
| 90716 |
|
720 |
707 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
852 |
810 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
562 |
522 |
$2K |
| 99383 |
|
12 |
12 |
$2K |
| 90651 |
|
136 |
130 |
$2K |
| 87807 |
|
296 |
285 |
$2K |
| 0071A |
|
63 |
57 |
$2K |
| 99050 |
|
197 |
192 |
$2K |
| 90696 |
|
103 |
99 |
$1K |
| 0072A |
|
57 |
55 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
166 |
119 |
$1K |
| 99463 |
|
12 |
12 |
$1K |
| 99174 |
|
4,095 |
3,651 |
$890.21 |
| 90686 |
|
1,074 |
1,044 |
$786.08 |
| 90707 |
|
702 |
686 |
$679.62 |
| 90633 |
|
1,018 |
977 |
$663.43 |
| 90680 |
|
1,469 |
1,425 |
$579.50 |
| 90619 |
|
34 |
31 |
$550.70 |
| 99173 |
|
3,899 |
3,435 |
$515.98 |
| 96161 |
|
191 |
148 |
$274.79 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
31 |
$264.25 |
| 92587 |
|
14 |
13 |
$161.65 |
| 95115 |
|
166 |
90 |
$146.02 |
| 36416 |
|
310 |
221 |
$117.66 |
| 97802 |
|
918 |
853 |
$110.42 |
| 90744 |
|
1,086 |
1,020 |
$84.01 |
| 3074F |
|
2,408 |
2,009 |
$75.00 |
| 92551 |
|
3,474 |
3,240 |
$65.55 |
| 90656 |
|
15 |
14 |
$50.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
146 |
135 |
$44.34 |
| 0001A |
|
31 |
31 |
$40.00 |
| 0002A |
|
50 |
50 |
$40.00 |
| 99058 |
|
55 |
53 |
$35.55 |
| 81025 |
|
12 |
12 |
$26.68 |
| 1036F |
|
5,577 |
4,458 |
$9.54 |
| 99177 |
|
239 |
222 |
$5.04 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
137 |
129 |
$1.72 |
| 91307 |
|
143 |
119 |
$0.41 |
| 91300 |
|
58 |
54 |
$0.01 |
| 3008F |
|
4,640 |
3,572 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
56 |
49 |
$0.00 |
| 90723 |
|
40 |
40 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 1160F |
|
6,514 |
4,838 |
$0.00 |
| 3078F |
|
2,436 |
2,031 |
$0.00 |
| 90700 |
|
42 |
41 |
$0.00 |
| 1159F |
|
6,521 |
4,841 |
$0.00 |
| 3725F |
|
897 |
646 |
$0.00 |
| 90648 |
|
144 |
143 |
$0.00 |
| 90715 |
|
26 |
24 |
$0.00 |
| 90671 |
|
115 |
102 |
$0.00 |
| 96116 |
|
151 |
137 |
$0.00 |
| 90734 |
|
48 |
47 |
$0.00 |
| 81002 |
|
17 |
13 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |