| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,666 |
11,739 |
$1.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,883 |
14,096 |
$969K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,370 |
12,924 |
$586K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,832 |
5,668 |
$576K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,573 |
13,116 |
$542K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,201 |
5,129 |
$520K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,016 |
2,957 |
$329K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,278 |
3,195 |
$308K |
| 96160 |
|
20,180 |
19,100 |
$125K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,302 |
1,261 |
$46K |
| 96127 |
|
8,719 |
8,295 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,946 |
2,391 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,989 |
1,958 |
$30K |
| 90461 |
|
6,715 |
6,477 |
$28K |
| 99429 |
|
2,208 |
1,311 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,178 |
1,044 |
$26K |
| 99215 |
Prolong outpt/office vis |
160 |
156 |
$21K |
| 99188 |
|
1,220 |
1,182 |
$20K |
| 99381 |
|
187 |
181 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
594 |
582 |
$13K |
| 99401 |
|
469 |
465 |
$13K |
| 94010 |
|
479 |
471 |
$12K |
| 96161 |
|
2,637 |
2,463 |
$9K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14,066 |
13,708 |
$8K |
| 92551 |
|
3,403 |
3,276 |
$7K |
| 90651 |
|
783 |
756 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
331 |
312 |
$6K |
| 94760 |
|
642 |
620 |
$5K |
| 99177 |
|
12,915 |
12,610 |
$4K |
| 85018 |
|
990 |
971 |
$3K |
| 92567 |
|
112 |
110 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
59 |
58 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,790 |
1,731 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
14 |
12 |
$1K |
| 99051 |
|
58 |
58 |
$910.70 |
| 90473 |
|
50 |
46 |
$862.79 |
| 99072 |
|
7,649 |
6,910 |
$777.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
35 |
$600.19 |
| A7015 |
Aerosol mask, used with dme nebulizer |
432 |
407 |
$521.69 |
| 81025 |
|
37 |
36 |
$272.66 |
| 90686 |
|
3,296 |
3,231 |
$236.80 |
| 94664 |
|
12 |
12 |
$200.64 |
| 99173 |
|
162 |
136 |
$160.65 |
| 81002 |
|
41 |
40 |
$114.42 |
| 36416 |
|
533 |
520 |
$100.52 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
366 |
348 |
$30.00 |
| 90670 |
|
2,045 |
1,990 |
$17.57 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
349 |
330 |
$5.71 |
| 90672 |
|
166 |
154 |
$0.89 |
| 90661 |
|
72 |
64 |
$0.55 |
| 90671 |
|
68 |
66 |
$0.49 |
| 90734 |
|
462 |
450 |
$0.06 |
| 90723 |
|
1,260 |
1,234 |
$0.05 |
| 90633 |
|
681 |
650 |
$0.04 |
| 90619 |
|
113 |
104 |
$0.04 |
| 90647 |
|
1,211 |
1,171 |
$0.03 |
| 99071 |
|
6,120 |
5,859 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
436 |
434 |
$0.00 |
| 5250F |
|
1,884 |
1,800 |
$0.00 |
| 90681 |
|
394 |
383 |
$0.00 |
| 90685 |
|
445 |
442 |
$0.00 |
| 90715 |
|
77 |
73 |
$0.00 |
| 90710 |
|
78 |
77 |
$0.00 |
| 90700 |
|
47 |
47 |
$0.00 |
| G9434 |
Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given |
16 |
15 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 99000 |
|
479 |
447 |
$0.00 |
| 99070 |
|
1,235 |
1,103 |
$0.00 |
| 90680 |
|
141 |
133 |
$0.00 |
| 90696 |
|
40 |
40 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
222 |
203 |
$0.00 |