| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,763 |
32,166 |
$1.16M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,225 |
4,015 |
$327K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,086 |
6,454 |
$271K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,495 |
3,270 |
$251K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,873 |
2,789 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,621 |
8,627 |
$231K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,384 |
1,332 |
$123K |
| 87428 |
|
2,203 |
2,139 |
$105K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,368 |
2,291 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,431 |
3,022 |
$27K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,714 |
642 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
512 |
479 |
$24K |
| 90461 |
|
4,443 |
2,663 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,808 |
1,689 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,231 |
637 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,097 |
1,054 |
$9K |
| 99335 |
|
1,195 |
1,194 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
678 |
652 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
131 |
129 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
216 |
98 |
$7K |
| 92567 |
|
409 |
400 |
$5K |
| 92557 |
|
137 |
132 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
54 |
26 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
35 |
29 |
$4K |
| 92579 |
|
101 |
99 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
187 |
$3K |
| 99429 |
|
108 |
88 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
312 |
290 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
63 |
62 |
$3K |
| 92587 |
|
163 |
161 |
$3K |
| 99381 |
|
41 |
37 |
$2K |
| 92555 |
|
99 |
98 |
$2K |
| 87807 |
|
168 |
161 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
39 |
$2K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
12 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
33 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
86 |
84 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$940.26 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
40 |
$915.49 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
28 |
17 |
$737.19 |
| 95718 |
|
16 |
13 |
$538.29 |
| 99443 |
|
14 |
12 |
$410.51 |
| 90686 |
|
4,250 |
3,936 |
$406.34 |
| 96160 |
|
442 |
405 |
$319.37 |
| 73100 |
|
12 |
12 |
$264.15 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
144 |
114 |
$161.96 |
| 99334 |
|
38 |
38 |
$73.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
68 |
68 |
$46.23 |
| 90697 |
|
510 |
479 |
$0.30 |
| 90656 |
|
207 |
206 |
$0.01 |
| 90648 |
|
1,974 |
1,773 |
$0.00 |
| 90670 |
|
2,218 |
2,006 |
$0.00 |
| 90710 |
|
45 |
42 |
$0.00 |
| 90633 |
|
512 |
487 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
559 |
551 |
$0.00 |
| 90707 |
|
45 |
42 |
$0.00 |
| 90685 |
|
136 |
135 |
$0.00 |
| 90662 |
|
18 |
18 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| 99177 |
|
86 |
65 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 99497 |
|
15 |
14 |
$0.00 |
| 90680 |
|
1,514 |
1,343 |
$0.00 |
| 90723 |
|
1,081 |
934 |
$0.00 |
| 90677 |
|
543 |
512 |
$0.00 |
| 90716 |
|
45 |
42 |
$0.00 |
| 90381 |
|
32 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
33 |
$0.00 |
| 90696 |
|
47 |
41 |
$0.00 |
| 90651 |
|
69 |
63 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
66 |
55 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
12 |
12 |
$0.00 |