| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,589 |
58,055 |
$2.68M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76,433 |
64,004 |
$2.06M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16,130 |
15,069 |
$1.04M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12,011 |
11,064 |
$844K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,839 |
11,957 |
$840K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,510 |
9,750 |
$624K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34,128 |
30,616 |
$436K |
| 99188 |
|
12,445 |
11,466 |
$265K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24,673 |
21,143 |
$261K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18,970 |
17,011 |
$224K |
| 92551 |
|
24,935 |
23,149 |
$184K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,509 |
4,678 |
$170K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12,252 |
11,232 |
$118K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,560 |
7,828 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,400 |
1,300 |
$92K |
| 99050 |
|
8,308 |
7,319 |
$89K |
| 99051 |
|
6,396 |
5,802 |
$81K |
| 83655 |
|
6,002 |
5,056 |
$57K |
| 90474 |
|
6,381 |
5,830 |
$52K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
760 |
658 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,127 |
4,309 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,656 |
2,569 |
$36K |
| 69210 |
|
1,516 |
1,290 |
$35K |
| 85013 |
|
15,465 |
13,576 |
$32K |
| 99460 |
|
822 |
697 |
$31K |
| 90620 |
|
4,243 |
3,737 |
$31K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
2,369 |
2,072 |
$24K |
| 90473 |
|
2,414 |
2,135 |
$21K |
| 81003 |
|
10,443 |
8,876 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
334 |
284 |
$19K |
| 99173 |
|
22,632 |
19,352 |
$19K |
| 99462 |
|
883 |
658 |
$19K |
| 90677 |
|
1,283 |
1,109 |
$16K |
| 0001A |
|
1,429 |
1,212 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,497 |
1,040 |
$10K |
| 0002A |
|
1,028 |
903 |
$10K |
| 99401 |
|
1,597 |
1,301 |
$10K |
| 90647 |
|
2,711 |
2,595 |
$9K |
| 87807 |
|
708 |
610 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13,887 |
12,307 |
$7K |
| H0033 |
Oral medication administration, direct observation |
819 |
696 |
$6K |
| 0074A |
|
538 |
426 |
$5K |
| 90671 |
|
1,405 |
865 |
$5K |
| 94664 |
|
2,823 |
2,442 |
$3K |
| A7015 |
Aerosol mask, used with dme nebulizer |
4,124 |
3,495 |
$3K |
| 96160 |
|
3,306 |
2,561 |
$3K |
| 90672 |
|
2,500 |
2,135 |
$2K |
| 0003A |
|
55 |
54 |
$2K |
| 96380 |
|
109 |
103 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
824 |
738 |
$1K |
| 90661 |
|
1,252 |
894 |
$1K |
| 69209 |
|
134 |
89 |
$1K |
| 90670 |
|
6,488 |
6,121 |
$684.96 |
| 90619 |
|
1,680 |
1,169 |
$435.72 |
| 90674 |
|
2,351 |
1,933 |
$374.40 |
| 90688 |
|
7,209 |
6,593 |
$294.92 |
| 90680 |
|
6,338 |
5,612 |
$294.12 |
| 99441 |
|
45 |
30 |
$253.96 |
| 90734 |
|
3,074 |
2,769 |
$133.90 |
| 90715 |
|
2,081 |
1,729 |
$108.53 |
| 90698 |
|
1,476 |
1,264 |
$108.07 |
| 99421 |
|
58 |
48 |
$100.00 |
| 90710 |
|
4,734 |
4,156 |
$90.61 |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
409 |
310 |
$79.46 |
| 90697 |
|
2,908 |
2,351 |
$75.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
171 |
152 |
$67.09 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
26 |
$36.82 |
| 90633 |
|
5,064 |
4,400 |
$22.59 |
| 99000 |
|
3,076 |
2,540 |
$12.50 |
| 90651 |
|
4,794 |
4,228 |
$6.58 |
| 90381 |
|
115 |
98 |
$0.13 |
| 90380 |
|
65 |
55 |
$0.05 |
| 91300 |
|
3,499 |
2,791 |
$0.02 |
| 90700 |
|
178 |
172 |
$0.00 |
| 90685 |
|
30 |
30 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 90713 |
|
36 |
34 |
$0.00 |
| 90696 |
|
1,662 |
1,504 |
$0.00 |
| 90723 |
|
3,806 |
3,614 |
$0.00 |
| 90660 |
|
475 |
380 |
$0.00 |
| 90686 |
|
21 |
21 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |