| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,652 |
23,692 |
$2.25M |
| 99199 |
Unlisted special service, procedure or report |
207,774 |
107,356 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,199 |
15,405 |
$1.00M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,408 |
6,115 |
$559K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,201 |
12,857 |
$549K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,977 |
6,049 |
$513K |
| 99401 |
|
13,902 |
9,109 |
$360K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,445 |
3,585 |
$323K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
8,852 |
7,237 |
$307K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23,679 |
19,779 |
$287K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,377 |
5,548 |
$156K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,921 |
4,348 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,883 |
1,527 |
$154K |
| 92587 |
|
13,223 |
10,805 |
$111K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,610 |
9,443 |
$91K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,502 |
9,090 |
$90K |
| 99051 |
|
3,569 |
3,090 |
$72K |
| D1206 |
Topical application of fluoride varnish |
4,941 |
4,349 |
$68K |
| 96127 |
|
12,495 |
10,118 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,514 |
1,301 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,233 |
916 |
$21K |
| 81003 |
|
12,932 |
10,554 |
$20K |
| 90461 |
|
6,218 |
5,210 |
$11K |
| 83655 |
|
823 |
744 |
$10K |
| 0072A |
|
184 |
136 |
$9K |
| 0071A |
|
166 |
137 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
457 |
316 |
$6K |
| 96161 |
|
1,891 |
1,648 |
$6K |
| 99215 |
Prolong outpt/office vis |
44 |
38 |
$5K |
| 99173 |
|
8,933 |
7,246 |
$5K |
| 86756 |
|
358 |
306 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
333 |
284 |
$3K |
| 90651 |
|
532 |
440 |
$3K |
| 80061 |
Lipid panel |
145 |
136 |
$2K |
| 90686 |
|
4,367 |
3,596 |
$1K |
| 99177 |
|
4,472 |
3,733 |
$1K |
| 90670 |
|
2,633 |
2,343 |
$697.14 |
| 90734 |
|
208 |
173 |
$690.21 |
| G9919 |
Screening performed and positive and provision of recommendations |
17 |
14 |
$433.20 |
| 36415 |
Collection of venous blood by venipuncture |
190 |
139 |
$414.93 |
| 94760 |
|
6,088 |
4,761 |
$336.66 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
80 |
39 |
$226.17 |
| 36416 |
|
12,611 |
10,320 |
$123.73 |
| 90633 |
|
1,108 |
1,006 |
$97.39 |
| 90647 |
|
1,577 |
1,430 |
$57.92 |
| 90715 |
|
46 |
41 |
$48.18 |
| 90672 |
|
83 |
46 |
$24.82 |
| 90656 |
|
299 |
284 |
$19.55 |
| 92551 |
|
46 |
45 |
$11.02 |
| 99000 |
|
5,210 |
4,002 |
$1.36 |
| 90680 |
|
1,226 |
1,120 |
$0.00 |
| 3008F |
|
3,365 |
3,003 |
$0.00 |
| 90723 |
|
1,515 |
1,365 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
275 |
234 |
$0.00 |
| 90716 |
|
126 |
117 |
$0.00 |
| 90677 |
|
94 |
68 |
$0.00 |
| 91307 |
|
404 |
288 |
$0.00 |
| 90696 |
|
180 |
163 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
26 |
25 |
$0.00 |
| 90660 |
|
18 |
14 |
$0.00 |
| 90710 |
|
208 |
180 |
$0.00 |
| 90700 |
|
123 |
105 |
$0.00 |
| 91300 |
|
51 |
30 |
$0.00 |
| 90707 |
|
126 |
117 |
$0.00 |
| 90685 |
|
515 |
501 |
$0.00 |