| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,731 |
25,544 |
$1.73M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,362 |
5,794 |
$547K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,698 |
5,222 |
$497K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,314 |
3,817 |
$381K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,405 |
3,946 |
$381K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18,836 |
16,818 |
$345K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,873 |
8,892 |
$283K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,013 |
2,545 |
$271K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,635 |
5,906 |
$168K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,158 |
9,449 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,204 |
2,916 |
$115K |
| 99199 |
Unlisted special service, procedure or report |
10,583 |
9,194 |
$85K |
| 90474 |
|
2,639 |
2,500 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,851 |
5,412 |
$46K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
657 |
587 |
$38K |
| 90651 |
|
935 |
798 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,538 |
3,029 |
$31K |
| 99460 |
|
327 |
298 |
$24K |
| 87807 |
|
1,669 |
1,453 |
$22K |
| 90734 |
|
1,014 |
859 |
$18K |
| D0145 |
Oral evaluation for a patient under three years of age |
456 |
410 |
$14K |
| 90620 |
|
453 |
405 |
$14K |
| 96127 |
|
4,416 |
3,724 |
$13K |
| 90686 |
|
6,407 |
5,739 |
$12K |
| 80061 |
Lipid panel |
849 |
707 |
$12K |
| 69210 |
|
310 |
294 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
278 |
226 |
$9K |
| D1206 |
Topical application of fluoride varnish |
427 |
409 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
548 |
489 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
590 |
563 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,754 |
1,610 |
$4K |
| 81003 |
|
1,385 |
1,179 |
$3K |
| 99441 |
|
204 |
121 |
$3K |
| 92551 |
|
10,209 |
8,925 |
$3K |
| 99462 |
|
70 |
50 |
$2K |
| 99407 |
|
96 |
87 |
$2K |
| 99442 |
|
60 |
45 |
$2K |
| 96160 |
|
657 |
588 |
$2K |
| 90715 |
|
349 |
290 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
81 |
$2K |
| 99173 |
|
11,655 |
10,299 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
79 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$669.72 |
| 83655 |
|
907 |
849 |
$506.19 |
| 82962 |
|
120 |
112 |
$312.40 |
| 90698 |
|
4,033 |
3,739 |
$216.14 |
| 90633 |
|
1,000 |
903 |
$207.90 |
| 85014 |
|
1,082 |
975 |
$109.17 |
| 94760 |
|
6,675 |
5,741 |
$89.12 |
| 86308 |
|
13 |
13 |
$82.94 |
| 94664 |
|
14 |
13 |
$33.39 |
| 90680 |
|
2,618 |
2,485 |
$0.00 |
| 90744 |
|
1,499 |
1,409 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
404 |
389 |
$0.00 |
| 90716 |
|
117 |
116 |
$0.00 |
| 90696 |
|
66 |
63 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90688 |
|
131 |
127 |
$0.00 |
| 90619 |
|
56 |
29 |
$0.00 |
| 90674 |
|
58 |
26 |
$0.00 |
| 90685 |
|
677 |
664 |
$0.00 |
| 90670 |
|
4,421 |
4,118 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
591 |
563 |
$0.00 |
| 90707 |
|
93 |
90 |
$0.00 |
| 90710 |
|
52 |
50 |
$0.00 |
| S9441 |
Asthma education, non-physician provider, per session |
27 |
25 |
$0.00 |