| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,616 |
26,444 |
$1.74M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,915 |
9,542 |
$907K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,571 |
6,526 |
$663K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,117 |
6,052 |
$578K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,181 |
4,150 |
$461K |
| 87428 |
|
5,586 |
5,500 |
$344K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,476 |
3,343 |
$319K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,078 |
15,879 |
$206K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16,024 |
9,354 |
$166K |
| 99000 |
|
7,411 |
7,154 |
$86K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,973 |
5,910 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,639 |
1,591 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,815 |
3,606 |
$59K |
| 99215 |
Prolong outpt/office vis |
247 |
237 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
702 |
693 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,415 |
1,396 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
106 |
$12K |
| 90480 |
|
369 |
363 |
$11K |
| 90474 |
|
867 |
859 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
505 |
250 |
$8K |
| 0054A |
|
112 |
112 |
$5K |
| 0124A |
|
95 |
95 |
$4K |
| 99051 |
|
536 |
522 |
$4K |
| 0071A |
|
73 |
72 |
$3K |
| 0154A |
|
61 |
61 |
$3K |
| 0074A |
|
58 |
56 |
$3K |
| 0081A |
|
72 |
53 |
$2K |
| 90651 |
|
2,532 |
2,506 |
$2K |
| 0072A |
|
43 |
43 |
$2K |
| 90461 |
|
233 |
207 |
$2K |
| 0082A |
|
33 |
25 |
$1K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
243 |
237 |
$978.95 |
| 69210 |
|
19 |
19 |
$889.39 |
| 69209 |
|
56 |
56 |
$851.94 |
| 90621 |
|
297 |
289 |
$772.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
42 |
$732.81 |
| 90686 |
|
8,774 |
8,675 |
$609.48 |
| 94760 |
|
560 |
545 |
$464.21 |
| 96380 |
|
15 |
15 |
$259.00 |
| 81002 |
|
64 |
63 |
$232.92 |
| 96381 |
|
13 |
12 |
$204.00 |
| 92551 |
|
25 |
25 |
$179.09 |
| 90734 |
|
398 |
396 |
$173.38 |
| 94761 |
|
28 |
28 |
$93.00 |
| 90688 |
|
296 |
292 |
$40.32 |
| A4620 |
Variable concentration mask |
12 |
12 |
$20.49 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
15 |
$1.04 |
| 90619 |
|
648 |
645 |
$0.06 |
| 90661 |
|
862 |
851 |
$0.04 |
| 90633 |
|
1,101 |
1,082 |
$0.00 |
| 90670 |
|
2,371 |
2,307 |
$0.00 |
| 90715 |
|
123 |
122 |
$0.00 |
| 90648 |
|
389 |
377 |
$0.00 |
| 91312 |
|
96 |
96 |
$0.00 |
| 91308 |
|
184 |
167 |
$0.00 |
| 90707 |
|
68 |
67 |
$0.00 |
| 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) |
221 |
200 |
$0.00 |
| 90710 |
|
105 |
105 |
$0.00 |
| 90700 |
|
74 |
73 |
$0.00 |
| 91320 |
|
26 |
26 |
$0.00 |
| 90677 |
|
809 |
797 |
$0.00 |
| 91307 |
|
605 |
566 |
$0.00 |
| 91317 |
|
14 |
14 |
$0.00 |
| 90680 |
|
1,108 |
1,093 |
$0.00 |
| 90716 |
|
57 |
57 |
$0.00 |
| 90656 |
|
188 |
187 |
$0.00 |
| 90696 |
|
136 |
136 |
$0.00 |
| 91305 |
|
183 |
182 |
$0.00 |
| 90723 |
|
27 |
27 |
$0.00 |
| 90697 |
|
283 |
281 |
$0.00 |
| 90698 |
|
137 |
135 |
$0.00 |
| 91315 |
|
75 |
75 |
$0.00 |
| 96127 |
|
98 |
85 |
$0.00 |
| 91319 |
|
25 |
25 |
$0.00 |