| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146,073 |
138,393 |
$2.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47,759 |
44,960 |
$1.21M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,434 |
11,295 |
$770K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,127 |
9,699 |
$404K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,624 |
10,510 |
$328K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,618 |
13,501 |
$297K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,983 |
9,886 |
$221K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,642 |
2,601 |
$205K |
| 92015 |
Determination of refractive state |
16,378 |
15,962 |
$168K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,625 |
4,385 |
$149K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,682 |
11,123 |
$120K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,368 |
6,336 |
$117K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,275 |
3,539 |
$112K |
| 90686 |
|
19,125 |
18,917 |
$106K |
| 87428 |
|
1,917 |
1,905 |
$99K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,160 |
5,051 |
$65K |
| 99442 |
|
2,828 |
2,657 |
$45K |
| 90670 |
|
6,131 |
6,021 |
$43K |
| 0002A |
|
1,508 |
1,489 |
$37K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
811 |
601 |
$35K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
460 |
459 |
$34K |
| 99441 |
|
3,601 |
3,487 |
$33K |
| 90688 |
|
2,280 |
2,255 |
$29K |
| 90697 |
|
1,852 |
1,840 |
$28K |
| 99205 |
Prolong outpt/office vis |
374 |
370 |
$26K |
| 90680 |
|
4,310 |
4,266 |
$26K |
| 0001A |
|
1,563 |
1,538 |
$25K |
| 96127 |
|
6,481 |
6,351 |
$21K |
| 90671 |
|
1,431 |
1,427 |
$20K |
| 99215 |
Prolong outpt/office vis |
451 |
436 |
$19K |
| 0071A |
|
629 |
577 |
$17K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
651 |
604 |
$16K |
| 90648 |
|
2,993 |
2,938 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
629 |
617 |
$15K |
| 90651 |
|
2,931 |
2,898 |
$15K |
| 0072A |
|
456 |
413 |
$12K |
| 90633 |
|
2,509 |
2,457 |
$11K |
| 0012A |
|
370 |
369 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
190 |
188 |
$8K |
| 90723 |
|
1,420 |
1,407 |
$8K |
| 90685 |
|
782 |
773 |
$8K |
| 0011A |
|
411 |
411 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
225 |
213 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,762 |
1,725 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
132 |
124 |
$6K |
| 0004A |
|
200 |
190 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
895 |
889 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
212 |
211 |
$4K |
| 0064A |
|
125 |
122 |
$4K |
| 90734 |
|
1,126 |
1,110 |
$4K |
| 90619 |
|
260 |
258 |
$4K |
| 99383 |
|
157 |
156 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
294 |
275 |
$3K |
| 90715 |
|
812 |
805 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
145 |
$3K |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
146 |
144 |
$3K |
| 92551 |
|
1,044 |
1,042 |
$3K |
| 0031A |
|
83 |
83 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
125 |
124 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
155 |
155 |
$2K |
| 99381 |
|
73 |
71 |
$2K |
| 92250 |
|
67 |
53 |
$2K |
| 90674 |
|
249 |
246 |
$2K |
| 90698 |
|
244 |
240 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
34 |
34 |
$2K |
| 90696 |
|
342 |
338 |
$2K |
| 0013A |
|
44 |
44 |
$2K |
| 96112 |
|
26 |
26 |
$1K |
| 92558 |
|
749 |
745 |
$1K |
| 90707 |
|
260 |
257 |
$1K |
| 90716 |
|
209 |
205 |
$1K |
| 90710 |
|
351 |
347 |
$1K |
| 98928 |
|
31 |
26 |
$1K |
| 99443 |
|
126 |
117 |
$1K |
| 81025 |
|
397 |
386 |
$1K |
| 90700 |
|
354 |
346 |
$1K |
| 99460 |
|
13 |
12 |
$1K |
| 74019 |
|
46 |
46 |
$1K |
| 0124A |
|
38 |
38 |
$1K |
| 59025 |
Fetal non-stress test |
22 |
12 |
$816.48 |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
32 |
28 |
$675.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
71 |
58 |
$615.32 |
| 97802 |
|
25 |
25 |
$607.35 |
| 99382 |
|
26 |
26 |
$572.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
70 |
$279.27 |
| 74018 |
|
14 |
14 |
$231.01 |
| 97803 |
|
12 |
12 |
$225.48 |
| 81003 |
|
546 |
536 |
$184.21 |
| 99401 |
|
44 |
39 |
$119.53 |
| 90785 |
|
27 |
26 |
$77.00 |
| 86580 |
|
28 |
28 |
$42.49 |
| 90656 |
|
86 |
86 |
$42.16 |
| 94760 |
|
134 |
123 |
$34.24 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
54 |
44 |
$5.40 |
| 91301 |
|
1,024 |
1,003 |
$0.00 |
| 99000 |
|
14 |
13 |
$0.00 |
| 91303 |
|
83 |
83 |
$0.00 |
| 66999 |
|
14 |
14 |
$0.00 |
| 91300 |
|
2,415 |
2,217 |
$0.00 |
| 0502F |
|
356 |
235 |
$0.00 |