| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,250 |
25,887 |
$2.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,491 |
6,152 |
$348K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,728 |
8,080 |
$338K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,209 |
3,591 |
$316K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,102 |
3,464 |
$280K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,182 |
7,806 |
$258K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,346 |
3,009 |
$250K |
| 87999 |
|
2,389 |
1,742 |
$195K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,541 |
10,126 |
$192K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,216 |
1,972 |
$183K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,694 |
5,125 |
$133K |
| 96127 |
|
5,030 |
4,288 |
$110K |
| 96112 |
|
878 |
697 |
$70K |
| 83655 |
|
5,672 |
4,654 |
$65K |
| 92587 |
|
4,629 |
4,028 |
$62K |
| 36416 |
|
10,207 |
8,720 |
$41K |
| 99173 |
|
4,830 |
4,319 |
$36K |
| 92558 |
|
3,118 |
2,739 |
$35K |
| 90670 |
|
2,854 |
2,210 |
$34K |
| 90677 |
|
525 |
457 |
$32K |
| 99381 |
|
325 |
307 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,754 |
1,433 |
$27K |
| 85018 |
|
11,789 |
10,054 |
$27K |
| 87807 |
|
2,466 |
1,888 |
$24K |
| 90698 |
|
2,072 |
1,729 |
$21K |
| 90680 |
|
1,907 |
1,543 |
$21K |
| 90633 |
|
1,939 |
1,490 |
$20K |
| 90686 |
|
1,940 |
1,674 |
$19K |
| 90619 |
|
659 |
549 |
$17K |
| 96160 |
|
1,146 |
1,019 |
$17K |
| 90744 |
|
1,427 |
1,235 |
$15K |
| 90651 |
|
695 |
598 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
383 |
350 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
751 |
668 |
$9K |
| D1206 |
Topical application of fluoride varnish |
335 |
207 |
$9K |
| 90710 |
|
739 |
646 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
85 |
$8K |
| 90715 |
|
557 |
479 |
$8K |
| 81003 |
|
3,533 |
3,075 |
$7K |
| 90697 |
|
431 |
324 |
$6K |
| 90700 |
|
441 |
365 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
360 |
144 |
$5K |
| 99215 |
Prolong outpt/office vis |
52 |
42 |
$5K |
| 90696 |
|
439 |
379 |
$5K |
| 90716 |
|
246 |
186 |
$4K |
| 0071A |
|
84 |
80 |
$4K |
| 90707 |
|
228 |
173 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
309 |
180 |
$3K |
| 0072A |
|
53 |
48 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
13 |
$2K |
| 90734 |
|
287 |
268 |
$2K |
| 90656 |
|
115 |
107 |
$2K |
| 99383 |
|
19 |
19 |
$2K |
| 99382 |
|
18 |
13 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| 92567 |
|
86 |
70 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
13 |
$1K |
| 90685 |
|
154 |
129 |
$981.81 |
| 90620 |
|
59 |
42 |
$927.68 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
454 |
119 |
$803.01 |
| 90648 |
|
90 |
78 |
$779.70 |
| 92588 |
|
19 |
15 |
$380.64 |
| 86580 |
|
92 |
76 |
$364.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
270 |
96 |
$353.20 |
| 88720 |
|
71 |
56 |
$308.00 |
| 90713 |
|
14 |
13 |
$233.94 |
| 91307 |
|
30 |
28 |
$225.00 |
| 90381 |
|
13 |
13 |
$217.23 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
12 |
$190.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
357 |
144 |
$33.35 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26 |
26 |
$5.98 |
| 96161 |
|
346 |
263 |
$0.00 |
| 90461 |
|
64 |
58 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
208 |
190 |
$0.00 |