| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,390 |
22,561 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,877 |
13,066 |
$925K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,915 |
18,318 |
$710K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21,315 |
15,504 |
$520K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,833 |
9,200 |
$483K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,975 |
5,495 |
$399K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,568 |
4,979 |
$373K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,916 |
3,422 |
$290K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,744 |
3,364 |
$228K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,159 |
7,456 |
$152K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,045 |
8,943 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,664 |
2,447 |
$69K |
| 99401 |
|
7,892 |
7,113 |
$60K |
| 96160 |
|
4,370 |
3,891 |
$48K |
| 99177 |
|
9,248 |
8,462 |
$48K |
| 99173 |
|
12,219 |
10,657 |
$47K |
| 96127 |
|
9,360 |
6,221 |
$34K |
| 90677 |
|
852 |
753 |
$26K |
| 99381 |
|
174 |
159 |
$12K |
| 85018 |
|
6,026 |
4,723 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
111 |
105 |
$9K |
| 90697 |
|
1,070 |
923 |
$8K |
| 87807 |
|
1,109 |
1,022 |
$8K |
| 83655 |
|
920 |
824 |
$8K |
| 90686 |
|
8,150 |
7,079 |
$7K |
| 99215 |
Prolong outpt/office vis |
86 |
77 |
$7K |
| 90461 |
|
6,118 |
5,481 |
$6K |
| 90670 |
|
2,346 |
2,110 |
$5K |
| 90651 |
|
1,075 |
931 |
$5K |
| 36416 |
|
5,346 |
4,588 |
$5K |
| 99383 |
|
66 |
56 |
$5K |
| 0072A |
|
114 |
93 |
$4K |
| 0071A |
|
113 |
91 |
$4K |
| 0001A |
|
96 |
82 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,038 |
1,760 |
$3K |
| 90619 |
|
516 |
420 |
$3K |
| 96161 |
|
321 |
294 |
$3K |
| 0002A |
|
59 |
51 |
$2K |
| 90621 |
|
462 |
408 |
$2K |
| 99384 |
|
22 |
16 |
$2K |
| 90680 |
|
1,594 |
1,411 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 81003 |
|
669 |
586 |
$866.20 |
| 90734 |
|
410 |
377 |
$783.91 |
| 92567 |
|
60 |
59 |
$767.99 |
| 36410 |
|
78 |
62 |
$692.04 |
| 0054A |
|
18 |
15 |
$600.00 |
| 0124A |
|
15 |
13 |
$546.93 |
| 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) |
83 |
63 |
$543.29 |
| 90698 |
|
865 |
792 |
$490.04 |
| 90716 |
|
382 |
351 |
$487.41 |
| 90633 |
|
970 |
886 |
$469.31 |
| 90710 |
|
52 |
51 |
$305.00 |
| 90707 |
|
376 |
344 |
$282.09 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
16 |
$242.28 |
| 90715 |
|
174 |
159 |
$229.96 |
| 99051 |
|
89 |
81 |
$192.38 |
| 99050 |
|
29 |
27 |
$191.65 |
| 90744 |
|
419 |
392 |
$113.08 |
| 94760 |
|
645 |
589 |
$102.03 |
| 90661 |
|
826 |
755 |
$98.45 |
| 90688 |
|
1,565 |
1,392 |
$46.53 |
| 91300 |
|
278 |
223 |
$40.38 |
| 90700 |
|
101 |
90 |
$32.78 |
| 99000 |
|
5,831 |
5,134 |
$15.81 |
| 90648 |
|
72 |
65 |
$12.86 |
| A4616 |
Tubing (oxygen), per foot |
32 |
29 |
$6.58 |
| 91307 |
|
423 |
334 |
$5.10 |
| 91312 |
|
15 |
13 |
$5.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
16 |
16 |
$0.96 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
15 |
$0.74 |
| 90696 |
|
144 |
137 |
$0.00 |
| 91305 |
|
58 |
50 |
$0.00 |
| 99072 |
|
2,126 |
1,513 |
$0.00 |
| 90685 |
|
318 |
302 |
$0.00 |
| 90687 |
|
193 |
183 |
$0.00 |