| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,988 |
54,117 |
$2.40M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,707 |
7,625 |
$685K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,970 |
6,907 |
$676K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23,870 |
21,669 |
$611K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,115 |
6,024 |
$503K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31,050 |
15,248 |
$345K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,955 |
3,877 |
$312K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,639 |
6,428 |
$290K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,940 |
4,759 |
$267K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,462 |
11,971 |
$180K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,278 |
5,446 |
$162K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,977 |
1,942 |
$90K |
| 99429 |
|
2,491 |
2,453 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,346 |
1,313 |
$84K |
| 99381 |
|
988 |
961 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,330 |
5,586 |
$62K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
581 |
573 |
$49K |
| 90461 |
|
5,531 |
4,307 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,338 |
2,764 |
$41K |
| 99383 |
|
405 |
404 |
$40K |
| 99384 |
|
238 |
238 |
$25K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,231 |
3,017 |
$23K |
| 97169 |
|
1,151 |
1,120 |
$22K |
| 99000 |
|
1,575 |
1,459 |
$18K |
| 87807 |
|
1,549 |
1,497 |
$18K |
| 96161 |
|
6,521 |
6,458 |
$16K |
| 90620 |
|
580 |
568 |
$11K |
| 81025 |
|
1,419 |
1,344 |
$11K |
| 81003 |
|
3,894 |
3,583 |
$8K |
| 99382 |
|
77 |
77 |
$8K |
| 90651 |
|
1,426 |
1,419 |
$6K |
| 90734 |
|
2,947 |
2,923 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
141 |
133 |
$3K |
| 96160 |
|
945 |
934 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,300 |
2,052 |
$2K |
| 90686 |
|
4,094 |
4,030 |
$1K |
| 93000 |
|
84 |
84 |
$1K |
| 69210 |
|
18 |
18 |
$759.33 |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
221 |
216 |
$452.59 |
| 82948 |
|
92 |
88 |
$384.95 |
| 90677 |
|
885 |
877 |
$335.00 |
| 90715 |
|
1,712 |
1,700 |
$136.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
658 |
627 |
$89.99 |
| 90696 |
|
1,450 |
1,411 |
$52.50 |
| 90680 |
|
560 |
549 |
$0.00 |
| 90723 |
|
1,564 |
1,548 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
8,033 |
7,891 |
$0.00 |
| 90698 |
|
1,017 |
1,001 |
$0.00 |
| 90697 |
|
445 |
436 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
6,251 |
6,167 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
41 |
$0.00 |
| 36416 |
|
71 |
69 |
$0.00 |
| 90681 |
|
1,274 |
1,258 |
$0.00 |
| 90648 |
|
2,418 |
2,395 |
$0.00 |
| 90700 |
|
1,082 |
1,068 |
$0.00 |
| 90633 |
|
2,491 |
2,458 |
$0.00 |
| 90710 |
|
2,632 |
2,582 |
$0.00 |
| 90670 |
|
3,004 |
2,960 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
237 |
236 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |