| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,756 |
16,379 |
$644K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,175 |
7,039 |
$547K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,410 |
6,299 |
$519K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,799 |
7,382 |
$403K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,393 |
4,323 |
$380K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,047 |
4,885 |
$374K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35,113 |
14,329 |
$365K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,946 |
3,872 |
$96K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,189 |
2,120 |
$86K |
| 99381 |
|
881 |
861 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,799 |
4,597 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,712 |
5,496 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,625 |
1,777 |
$49K |
| 90461 |
|
8,649 |
7,237 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,842 |
2,810 |
$30K |
| 99383 |
|
287 |
285 |
$26K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,613 |
4,216 |
$26K |
| 83655 |
|
1,956 |
1,906 |
$19K |
| 99382 |
|
157 |
156 |
$14K |
| 99429 |
|
220 |
217 |
$7K |
| 85018 |
|
4,028 |
3,937 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
551 |
529 |
$7K |
| 99384 |
|
54 |
53 |
$5K |
| 87807 |
|
445 |
418 |
$5K |
| 96160 |
|
3,515 |
3,445 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
53 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
344 |
206 |
$3K |
| 99000 |
|
183 |
176 |
$2K |
| 81002 |
|
562 |
536 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$656.06 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
36 |
$508.64 |
| 99080 |
|
13 |
12 |
$265.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
505 |
485 |
$20.88 |
| 97803 |
|
5,724 |
5,661 |
$15.50 |
| 94760 |
|
18 |
17 |
$3.92 |
| 90686 |
|
6,239 |
6,136 |
$2.92 |
| 90734 |
|
1,670 |
1,617 |
$0.55 |
| 90620 |
|
822 |
802 |
$0.52 |
| 97802 |
|
71 |
71 |
$0.24 |
| 90648 |
|
4,503 |
4,369 |
$0.22 |
| 90651 |
|
1,675 |
1,621 |
$0.19 |
| 90677 |
|
959 |
940 |
$0.18 |
| 90723 |
|
3,176 |
3,084 |
$0.18 |
| 90715 |
|
852 |
821 |
$0.18 |
| 90670 |
|
3,638 |
3,534 |
$0.12 |
| 90656 |
|
772 |
737 |
$0.08 |
| 90680 |
|
2,873 |
2,781 |
$0.07 |
| 90707 |
|
979 |
945 |
$0.04 |
| 90716 |
|
997 |
961 |
$0.02 |
| 90633 |
|
2,420 |
2,348 |
$0.02 |
| 90696 |
|
1,101 |
1,074 |
$0.00 |
| 36416 |
|
2,628 |
2,540 |
$0.00 |
| 90710 |
|
1,252 |
1,225 |
$0.00 |
| 90700 |
|
1,050 |
1,024 |
$0.00 |