| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,021 |
11,645 |
$1.77M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
3,719 |
2,996 |
$1.24M |
| 99215 |
Prolong outpt/office vis |
4,038 |
2,981 |
$580K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,961 |
5,071 |
$513K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,682 |
776 |
$155K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
816 |
716 |
$79K |
| 76536 |
|
970 |
629 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
681 |
611 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
767 |
578 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
600 |
498 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,824 |
3,671 |
$52K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
732 |
532 |
$48K |
| 69210 |
|
1,070 |
738 |
$37K |
| 90686 |
|
1,472 |
1,235 |
$28K |
| 99050 |
|
1,882 |
1,131 |
$27K |
| 3074F |
|
8,661 |
6,179 |
$26K |
| 76642 |
|
440 |
250 |
$26K |
| 3078F |
|
8,654 |
6,173 |
$26K |
| 94760 |
|
14,189 |
10,115 |
$20K |
| 92551 |
|
2,280 |
1,894 |
$19K |
| 96127 |
|
3,105 |
2,690 |
$19K |
| D1206 |
Topical application of fluoride varnish |
711 |
666 |
$17K |
| 90838 |
|
177 |
107 |
$15K |
| 94664 |
|
1,092 |
716 |
$13K |
| 80061 |
Lipid panel |
1,151 |
1,005 |
$12K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
272 |
168 |
$8K |
| 85018 |
|
3,855 |
3,288 |
$8K |
| 94375 |
|
184 |
126 |
$5K |
| 94667 |
|
248 |
161 |
$5K |
| 99173 |
|
1,837 |
1,540 |
$4K |
| 82947 |
|
1,137 |
991 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
232 |
208 |
$3K |
| 90672 |
|
152 |
124 |
$3K |
| 95012 |
|
214 |
134 |
$3K |
| 0001A |
|
73 |
70 |
$3K |
| 90656 |
|
130 |
111 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
178 |
90 |
$2K |
| 0002A |
|
50 |
45 |
$2K |
| 90670 |
|
79 |
76 |
$2K |
| 90698 |
|
60 |
56 |
$1K |
| 81000 |
|
413 |
350 |
$1K |
| 0071A |
|
29 |
28 |
$1K |
| 0072A |
|
29 |
28 |
$1K |
| 0124A |
|
38 |
28 |
$884.00 |
| 97802 |
|
187 |
164 |
$876.87 |
| 90620 |
|
38 |
34 |
$861.48 |
| 90651 |
|
30 |
26 |
$605.28 |
| A4617 |
Mouth piece |
375 |
168 |
$584.31 |
| 0003A |
|
13 |
13 |
$440.00 |
| 96161 |
|
171 |
129 |
$399.47 |
| A7015 |
Aerosol mask, used with dme nebulizer |
143 |
74 |
$348.25 |
| 90734 |
|
13 |
12 |
$279.36 |
| 96160 |
|
963 |
757 |
$244.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
12 |
$131.40 |
| 93040 |
|
17 |
12 |
$106.70 |
| 94761 |
|
25 |
18 |
$77.22 |
| 36416 |
|
3,986 |
3,278 |
$49.50 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
46 |
29 |
$9.36 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
20 |
13 |
$1.72 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
17 |
$0.30 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
14 |
$0.00 |