| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,201 |
42,567 |
$2.21M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,773 |
8,523 |
$771K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,260 |
9,339 |
$639K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,968 |
7,770 |
$636K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,807 |
6,648 |
$567K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40,396 |
16,104 |
$508K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,821 |
3,729 |
$330K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,519 |
6,863 |
$292K |
| 90670 |
|
4,685 |
4,557 |
$239K |
| 90461 |
|
11,082 |
9,003 |
$201K |
| 99460 |
|
2,441 |
2,374 |
$200K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,481 |
4,071 |
$185K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,479 |
4,665 |
$132K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,088 |
2,028 |
$130K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,611 |
8,128 |
$118K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,128 |
6,798 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,920 |
2,501 |
$78K |
| 90651 |
|
1,579 |
1,523 |
$61K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
702 |
673 |
$58K |
| 90681 |
|
2,669 |
2,607 |
$50K |
| 90716 |
|
2,691 |
2,609 |
$42K |
| 90734 |
|
1,477 |
1,424 |
$38K |
| 90677 |
|
1,206 |
1,198 |
$36K |
| 99223 |
Prolong inpt eval add15 m |
233 |
217 |
$28K |
| 90707 |
|
2,681 |
2,599 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,480 |
1,990 |
$23K |
| 90633 |
|
2,891 |
2,796 |
$19K |
| 90686 |
|
5,261 |
5,069 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
198 |
194 |
$16K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,389 |
1,278 |
$16K |
| 90647 |
|
4,397 |
4,283 |
$14K |
| 87807 |
|
1,238 |
1,177 |
$14K |
| 90723 |
|
4,675 |
4,566 |
$13K |
| 90696 |
|
1,091 |
1,067 |
$12K |
| 99462 |
|
279 |
263 |
$11K |
| 99381 |
|
113 |
113 |
$10K |
| 90620 |
|
253 |
248 |
$9K |
| 54150 |
|
92 |
86 |
$9K |
| 90688 |
|
464 |
462 |
$8K |
| 99000 |
|
745 |
710 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
71 |
69 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
89 |
$6K |
| 83655 |
|
700 |
657 |
$6K |
| 90715 |
|
819 |
801 |
$6K |
| 92551 |
|
2,062 |
2,031 |
$5K |
| 99173 |
|
2,028 |
2,001 |
$5K |
| 90700 |
|
1,259 |
1,230 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
87 |
51 |
$4K |
| 90648 |
|
165 |
163 |
$4K |
| 99383 |
|
44 |
42 |
$3K |
| 99429 |
|
101 |
101 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
278 |
254 |
$2K |
| 0071A |
|
51 |
51 |
$2K |
| 17250 |
|
31 |
25 |
$2K |
| 81002 |
|
789 |
727 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,243 |
2,845 |
$2K |
| 99382 |
|
15 |
15 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,594 |
5,096 |
$700.72 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
28 |
28 |
$675.00 |
| 0072A |
|
13 |
13 |
$542.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
201 |
188 |
$442.84 |
| 86318 |
|
15 |
15 |
$261.17 |
| 85018 |
|
422 |
392 |
$223.10 |
| 93000 |
|
12 |
12 |
$119.65 |
| 36415 |
Collection of venous blood by venipuncture |
212 |
202 |
$71.96 |
| 94760 |
|
15 |
12 |
$2.36 |
| 91307 |
|
82 |
79 |
$0.05 |
| 90713 |
|
13 |
13 |
$0.00 |