| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,951 |
21,792 |
$2.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,091 |
15,887 |
$2.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,233 |
5,033 |
$598K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,136 |
4,782 |
$541K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,459 |
4,247 |
$473K |
| 99215 |
Prolong outpt/office vis |
2,472 |
2,088 |
$394K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,801 |
2,592 |
$316K |
| 99460 |
|
2,410 |
2,266 |
$220K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,559 |
14,419 |
$154K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,320 |
1,225 |
$135K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,775 |
1,607 |
$76K |
| 90686 |
|
3,086 |
2,757 |
$67K |
| 99477 |
|
176 |
151 |
$55K |
| 87428 |
|
2,113 |
1,793 |
$54K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
757 |
714 |
$51K |
| 90670 |
|
2,163 |
2,062 |
$50K |
| 92551 |
|
5,125 |
4,840 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,946 |
3,455 |
$45K |
| 90698 |
|
1,836 |
1,747 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,247 |
1,771 |
$40K |
| 96127 |
|
5,360 |
4,885 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,348 |
3,878 |
$26K |
| D1206 |
Topical application of fluoride varnish |
884 |
842 |
$21K |
| 99173 |
|
6,754 |
6,347 |
$17K |
| 90688 |
|
745 |
701 |
$16K |
| 90680 |
|
690 |
660 |
$15K |
| 99177 |
|
2,919 |
2,742 |
$14K |
| 87070 |
|
2,021 |
1,769 |
$11K |
| 96161 |
|
3,813 |
2,985 |
$10K |
| 94760 |
|
10,340 |
8,672 |
$9K |
| 90656 |
|
404 |
381 |
$9K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
75 |
40 |
$7K |
| 90633 |
|
337 |
319 |
$7K |
| 80061 |
Lipid panel |
636 |
577 |
$7K |
| 90710 |
|
261 |
245 |
$6K |
| 90651 |
|
251 |
220 |
$5K |
| 87807 |
|
510 |
466 |
$5K |
| 90744 |
|
231 |
225 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
84 |
$4K |
| 90677 |
|
158 |
146 |
$4K |
| 90734 |
|
164 |
150 |
$4K |
| 90619 |
|
121 |
106 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,387 |
1,244 |
$3K |
| 90697 |
|
127 |
109 |
$2K |
| 99463 |
|
14 |
14 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$2K |
| 99000 |
|
8,716 |
7,598 |
$1K |
| 90715 |
|
47 |
44 |
$1K |
| 99462 |
|
15 |
13 |
$633.15 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
50 |
27 |
$542.76 |
| 83655 |
|
43 |
36 |
$411.97 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
40 |
26 |
$353.52 |
| 90621 |
|
16 |
14 |
$302.64 |
| 96160 |
|
127 |
94 |
$272.53 |
| 81002 |
|
52 |
51 |
$115.21 |
| 36416 |
|
1,228 |
1,039 |
$48.00 |
| J7612 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg |
15 |
12 |
$0.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,294 |
1,175 |
$0.05 |