| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,597 |
42,102 |
$2.93M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44,081 |
43,921 |
$1.52M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37,227 |
36,218 |
$1.47M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,776 |
16,774 |
$943K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17,750 |
17,746 |
$934K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,049 |
11,952 |
$647K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
11,399 |
11,396 |
$641K |
| 90461 |
|
15,660 |
15,400 |
$562K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
31,744 |
31,741 |
$264K |
| 92587 |
|
16,376 |
16,311 |
$255K |
| 92551 |
|
22,049 |
22,017 |
$199K |
| 99442 |
|
3,747 |
3,657 |
$187K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24,801 |
22,254 |
$184K |
| 99173 |
|
28,810 |
28,800 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,731 |
1,700 |
$169K |
| 99381 |
|
1,107 |
1,107 |
$70K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,879 |
3,798 |
$61K |
| 81000 |
|
16,994 |
16,974 |
$58K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,701 |
11,622 |
$51K |
| 81003 |
|
14,442 |
14,417 |
$31K |
| 83655 |
|
2,481 |
2,470 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,313 |
2,301 |
$26K |
| 97802 |
|
32,829 |
32,825 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,404 |
3,376 |
$19K |
| 0072A |
|
460 |
459 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,158 |
585 |
$17K |
| 0071A |
|
438 |
437 |
$16K |
| 96127 |
|
11,073 |
11,073 |
$15K |
| 99051 |
|
8,453 |
8,400 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
176 |
176 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
107 |
107 |
$8K |
| 92567 |
|
445 |
442 |
$8K |
| 99383 |
|
111 |
111 |
$7K |
| 96160 |
|
5,244 |
5,243 |
$6K |
| 99460 |
|
104 |
104 |
$6K |
| 0001A |
|
178 |
163 |
$5K |
| 95012 |
|
425 |
423 |
$4K |
| 99382 |
|
66 |
66 |
$4K |
| 99384 |
|
43 |
43 |
$3K |
| 0002A |
|
43 |
43 |
$2K |
| 90697 |
|
1,401 |
1,401 |
$2K |
| 90633 |
|
3,775 |
3,774 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
457 |
456 |
$1K |
| 90671 |
|
1,206 |
1,206 |
$744.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
88 |
86 |
$713.28 |
| 99177 |
|
3,090 |
3,090 |
$709.69 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$630.79 |
| 90381 |
|
41 |
41 |
$592.52 |
| 90698 |
|
1,271 |
1,271 |
$357.01 |
| 90710 |
|
1,459 |
1,459 |
$303.49 |
| 90686 |
|
14,273 |
14,266 |
$268.04 |
| 98960 |
|
4,454 |
4,393 |
$241.88 |
| 90620 |
|
2,667 |
2,665 |
$196.36 |
| 90707 |
|
1,348 |
1,347 |
$189.87 |
| 90651 |
|
4,272 |
4,272 |
$124.97 |
| 90716 |
|
1,632 |
1,632 |
$107.11 |
| 90661 |
|
1,275 |
1,275 |
$36.85 |
| 90715 |
|
1,669 |
1,669 |
$17.87 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
88 |
86 |
$4.16 |
| 91307 |
|
739 |
661 |
$3.28 |
| 90619 |
|
1,000 |
999 |
$0.32 |
| 90696 |
|
1,440 |
1,440 |
$0.03 |
| 90681 |
|
2,782 |
2,780 |
$0.00 |
| 90670 |
|
5,638 |
5,634 |
$0.00 |
| 3725F |
|
3,969 |
3,969 |
$0.00 |
| 90734 |
|
1,465 |
1,465 |
$0.00 |
| 90380 |
|
15 |
15 |
$0.00 |
| 91300 |
|
129 |
124 |
$0.00 |
| 90621 |
|
28 |
28 |
$0.00 |
| 90700 |
|
52 |
52 |
$0.00 |
| 99080 |
|
22 |
21 |
$0.00 |
| 1031F |
|
50,573 |
50,216 |
$0.00 |
| 90647 |
|
1,889 |
1,887 |
$0.00 |
| 90723 |
|
3,124 |
3,121 |
$0.00 |
| 99000 |
|
16,841 |
16,678 |
$0.00 |
| 90744 |
|
126 |
126 |
$0.00 |
| 90677 |
|
1,064 |
1,064 |
$0.00 |
| 90674 |
|
617 |
617 |
$0.00 |
| 36416 |
|
755 |
753 |
$0.00 |