| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,346 |
45,739 |
$1.61M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,704 |
28,661 |
$1.51M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19,673 |
17,534 |
$1.28M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17,386 |
14,834 |
$1.21M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,766 |
11,908 |
$794K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,343 |
5,831 |
$413K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42,634 |
38,524 |
$407K |
| 90670 |
|
8,591 |
8,254 |
$180K |
| 99381 |
|
895 |
802 |
$53K |
| 90686 |
|
11,160 |
10,791 |
$41K |
| 99051 |
|
11,250 |
10,587 |
$40K |
| 99188 |
|
3,488 |
3,069 |
$25K |
| 99383 |
|
280 |
263 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,314 |
3,111 |
$20K |
| 90461 |
|
24,362 |
20,884 |
$18K |
| 83655 |
|
6,077 |
5,243 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
217 |
207 |
$11K |
| 85018 |
|
14,733 |
13,053 |
$9K |
| 99382 |
|
110 |
96 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,547 |
9,702 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
6,474 |
5,943 |
$6K |
| 90716 |
|
3,571 |
3,418 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
416 |
397 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
394 |
358 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,426 |
1,371 |
$4K |
| 1160F |
|
41,502 |
38,219 |
$3K |
| 2001F |
|
52,331 |
46,587 |
$3K |
| 99460 |
|
87 |
79 |
$3K |
| 90715 |
|
336 |
314 |
$3K |
| 99384 |
|
37 |
30 |
$2K |
| 90707 |
|
3,467 |
3,315 |
$2K |
| 3008F |
|
34,268 |
31,732 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
652 |
606 |
$2K |
| 90633 |
|
4,264 |
4,063 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
29 |
$2K |
| 90619 |
|
258 |
244 |
$2K |
| 99177 |
|
24,076 |
21,001 |
$2K |
| 90651 |
|
2,061 |
1,959 |
$1K |
| 3074F |
|
14,847 |
13,822 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
99 |
95 |
$1K |
| 90648 |
|
7,708 |
7,424 |
$1K |
| 96127 |
|
9,551 |
8,268 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
478 |
251 |
$1K |
| 0071A |
|
55 |
49 |
$975.39 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
31 |
$874.01 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
24 |
$788.29 |
| 3078F |
|
14,532 |
13,532 |
$768.31 |
| 90621 |
|
181 |
161 |
$622.44 |
| 90734 |
|
996 |
932 |
$603.44 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$598.53 |
| 99000 |
|
1,135 |
1,007 |
$539.15 |
| 81003 |
|
511 |
479 |
$527.10 |
| 92551 |
|
16,281 |
14,336 |
$516.67 |
| 90680 |
|
4,361 |
4,225 |
$402.96 |
| 87634 |
|
12 |
12 |
$375.76 |
| 90723 |
|
5,188 |
5,020 |
$330.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$228.89 |
| 90696 |
|
648 |
622 |
$212.71 |
| 90700 |
|
422 |
410 |
$186.01 |
| 90672 |
|
25 |
25 |
$137.70 |
| 87081 |
|
383 |
366 |
$128.79 |
| 90697 |
|
836 |
772 |
$93.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$92.34 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
27 |
27 |
$42.68 |
| 82465 |
|
82 |
78 |
$24.73 |
| 90681 |
|
20 |
15 |
$0.00 |
| 90688 |
|
159 |
157 |
$0.00 |
| 91307 |
|
62 |
61 |
$0.00 |
| 90677 |
|
215 |
211 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
18 |
12 |
$0.00 |
| 96380 |
|
15 |
13 |
$0.00 |