| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,702 |
35,963 |
$2.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,592 |
9,896 |
$1.11M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,988 |
6,704 |
$641K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,117 |
4,996 |
$531K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,291 |
4,171 |
$453K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,579 |
10,203 |
$224K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,193 |
4,048 |
$192K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,724 |
1,166 |
$183K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,483 |
8,315 |
$131K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
834 |
801 |
$120K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,776 |
4,670 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
955 |
930 |
$110K |
| 99177 |
|
9,014 |
8,842 |
$109K |
| 90791 |
Psychiatric diagnostic evaluation |
431 |
423 |
$61K |
| 92552 |
|
2,209 |
2,182 |
$58K |
| 92551 |
|
3,934 |
3,789 |
$47K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
887 |
828 |
$34K |
| 90686 |
|
3,270 |
3,124 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
236 |
226 |
$10K |
| 96127 |
|
1,195 |
1,158 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
110 |
82 |
$8K |
| 99000 |
|
2,674 |
2,496 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
658 |
650 |
$7K |
| 90670 |
|
431 |
427 |
$6K |
| 90461 |
|
1,360 |
1,330 |
$5K |
| 90473 |
|
205 |
201 |
$4K |
| 36416 |
|
1,538 |
1,468 |
$4K |
| 0071A |
|
63 |
63 |
$3K |
| 0072A |
|
47 |
47 |
$3K |
| 0001A |
|
83 |
82 |
$3K |
| 0002A |
|
56 |
55 |
$2K |
| 83655 |
|
155 |
150 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
136 |
132 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
79 |
76 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
41 |
$1K |
| 99174 |
|
73 |
72 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$1K |
| 0111A |
|
39 |
13 |
$822.19 |
| 90734 |
|
13 |
13 |
$484.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$446.31 |
| 85018 |
|
162 |
158 |
$439.90 |
| 90723 |
|
171 |
169 |
$384.00 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$380.84 |
| 90647 |
|
175 |
174 |
$313.30 |
| 90681 |
|
14 |
14 |
$298.64 |
| 90672 |
|
71 |
69 |
$247.86 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
138 |
132 |
$200.34 |
| 95117 |
|
14 |
12 |
$177.76 |
| 90633 |
|
26 |
25 |
$124.11 |
| 96160 |
|
23 |
18 |
$106.40 |
| 94760 |
|
42 |
41 |
$83.64 |
| 81003 |
|
37 |
30 |
$73.50 |
| 90715 |
|
12 |
12 |
$51.82 |
| 92558 |
|
13 |
13 |
$15.16 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
140 |
133 |
$8.67 |
| 91307 |
|
161 |
160 |
$0.00 |
| 90697 |
|
64 |
63 |
$0.00 |
| 90677 |
|
148 |
146 |
$0.00 |
| 90656 |
|
274 |
263 |
$0.00 |
| 90680 |
|
26 |
25 |
$0.00 |
| 91300 |
|
203 |
200 |
$0.00 |
| 90671 |
|
58 |
56 |
$0.00 |
| 91311 |
|
36 |
13 |
$0.00 |