| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,125 |
5,394 |
$355K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,851 |
6,919 |
$346K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,662 |
3,204 |
$201K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,382 |
2,562 |
$156K |
| 97802 |
|
12,267 |
6,989 |
$136K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,858 |
7,359 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,478 |
1,881 |
$116K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,446 |
1,885 |
$109K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,505 |
2,619 |
$59K |
| 90461 |
|
5,926 |
3,058 |
$30K |
| 99215 |
Prolong outpt/office vis |
424 |
199 |
$17K |
| 97803 |
|
2,737 |
1,437 |
$11K |
| 90633 |
|
1,998 |
982 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,082 |
678 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
769 |
709 |
$7K |
| 90656 |
|
645 |
637 |
$7K |
| 90648 |
|
399 |
329 |
$7K |
| 90680 |
|
2,164 |
1,133 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,493 |
1,055 |
$6K |
| 90647 |
|
192 |
192 |
$6K |
| 90700 |
|
827 |
679 |
$5K |
| 90649 |
|
195 |
191 |
$4K |
| 0002A |
|
105 |
104 |
$4K |
| 83655 |
|
1,751 |
794 |
$4K |
| 90686 |
|
6,603 |
3,017 |
$4K |
| 0001A |
|
145 |
139 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,239 |
2,675 |
$3K |
| S9451 |
Exercise classes, non-physician provider, per session |
10,185 |
5,922 |
$2K |
| 0071A |
|
73 |
72 |
$2K |
| 0072A |
|
78 |
67 |
$2K |
| 90658 |
|
54 |
54 |
$2K |
| 90670 |
|
3,581 |
1,848 |
$1K |
| 85018 |
|
3,311 |
1,683 |
$1K |
| 99381 |
|
33 |
25 |
$1K |
| 90710 |
|
1,788 |
903 |
$1K |
| 90682 |
|
24 |
24 |
$1K |
| 90651 |
|
1,256 |
570 |
$962.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,015 |
342 |
$823.96 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
961 |
357 |
$646.27 |
| 90723 |
|
235 |
234 |
$633.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
99 |
$588.00 |
| 90734 |
|
978 |
493 |
$581.93 |
| 90715 |
|
462 |
204 |
$402.64 |
| 36415 |
Collection of venous blood by venipuncture |
455 |
219 |
$276.89 |
| 90657 |
|
62 |
59 |
$276.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
653 |
266 |
$235.35 |
| 91300 |
|
405 |
292 |
$225.67 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
809 |
263 |
$213.57 |
| 90685 |
|
17 |
17 |
$192.08 |
| 94667 |
|
330 |
112 |
$175.65 |
| 90713 |
|
278 |
276 |
$119.92 |
| 87807 |
|
641 |
185 |
$83.61 |
| 99447 |
|
19 |
16 |
$75.98 |
| 90744 |
|
43 |
41 |
$48.02 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
592 |
153 |
$42.68 |
| 90655 |
|
46 |
45 |
$32.52 |
| 90698 |
|
13 |
13 |
$30.00 |
| 96127 |
|
2,035 |
666 |
$10.14 |
| 90696 |
|
300 |
106 |
$0.00 |
| 3008F |
|
12,330 |
4,760 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
98 |
73 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
21 |
17 |
$0.00 |
| 91307 |
|
217 |
166 |
$0.00 |
| 90697 |
|
1,844 |
619 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
226 |
56 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
24 |
24 |
$0.00 |
| 90620 |
|
32 |
14 |
$0.00 |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
14 |
12 |
$0.00 |
| 94664 |
|
280 |
77 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
297 |
201 |
$0.00 |
| 81002 |
|
91 |
25 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
126 |
27 |
$0.00 |