| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,039 |
65,793 |
$4.11M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46,466 |
45,622 |
$2.26M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24,374 |
22,868 |
$2.10M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,485 |
17,218 |
$1.52M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,936 |
10,750 |
$941K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,170 |
21,528 |
$741K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,587 |
4,510 |
$430K |
| 99460 |
|
4,799 |
4,660 |
$407K |
| 99058 |
|
21,645 |
20,925 |
$378K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,803 |
4,661 |
$313K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26,151 |
12,664 |
$235K |
| 90461 |
|
4,450 |
4,313 |
$187K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,980 |
4,840 |
$164K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,072 |
15,615 |
$134K |
| 54150 |
|
1,043 |
1,013 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,260 |
1,186 |
$108K |
| 99463 |
|
686 |
667 |
$69K |
| 99188 |
|
4,533 |
4,441 |
$54K |
| 99462 |
|
1,156 |
1,005 |
$44K |
| 99381 |
|
396 |
393 |
$41K |
| 83655 |
|
4,029 |
3,959 |
$39K |
| 99383 |
|
354 |
350 |
$39K |
| 99382 |
|
182 |
180 |
$19K |
| 96127 |
|
4,365 |
4,260 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
260 |
198 |
$16K |
| 2015F |
|
2,220 |
2,129 |
$15K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
940 |
902 |
$12K |
| 85018 |
|
5,494 |
5,377 |
$11K |
| 36416 |
|
1,832 |
1,799 |
$6K |
| 99384 |
|
45 |
45 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
294 |
259 |
$5K |
| 87428 |
|
113 |
110 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
722 |
704 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
52 |
$5K |
| 96380 |
|
115 |
114 |
$2K |
| 92567 |
|
232 |
228 |
$2K |
| 90677 |
|
2,161 |
2,151 |
$2K |
| 90651 |
|
2,942 |
2,893 |
$2K |
| 92587 |
|
37 |
37 |
$608.04 |
| 81003 |
|
330 |
321 |
$590.15 |
| 90380 |
|
59 |
57 |
$511.43 |
| 0071A |
|
12 |
12 |
$459.24 |
| 90686 |
|
11,404 |
11,070 |
$373.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
23 |
16 |
$282.90 |
| 80061 |
Lipid panel |
28 |
28 |
$263.20 |
| 2014F |
|
28 |
26 |
$240.00 |
| 90670 |
|
13,368 |
13,184 |
$207.72 |
| 90710 |
|
4,931 |
4,835 |
$207.02 |
| 90698 |
|
7,817 |
7,688 |
$163.34 |
| 90697 |
|
3,576 |
3,551 |
$141.86 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
940 |
903 |
$130.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
190 |
179 |
$38.91 |
| 82962 |
|
28 |
28 |
$36.64 |
| 90633 |
|
7,443 |
7,335 |
$0.00 |
| 90734 |
|
892 |
883 |
$0.00 |
| 90715 |
|
765 |
757 |
$0.00 |
| 90685 |
|
1,481 |
1,461 |
$0.00 |
| 90700 |
|
741 |
726 |
$0.00 |
| 90707 |
|
211 |
210 |
$0.00 |
| 90648 |
|
241 |
241 |
$0.00 |
| 90671 |
|
645 |
641 |
$0.00 |
| 90621 |
|
93 |
92 |
$0.00 |
| 90744 |
|
4,466 |
4,396 |
$0.00 |
| 90680 |
|
9,311 |
9,194 |
$0.00 |
| 90696 |
|
962 |
947 |
$0.00 |
| 90619 |
|
772 |
762 |
$0.00 |
| 91307 |
|
15 |
15 |
$0.00 |
| 90716 |
|
205 |
204 |
$0.00 |
| 90381 |
|
29 |
24 |
$0.00 |