| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32,593 |
28,851 |
$2.44M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,255 |
8,904 |
$790K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,240 |
12,106 |
$722K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,824 |
16,079 |
$683K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,410 |
7,121 |
$625K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,401 |
6,973 |
$595K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,602 |
4,393 |
$419K |
| 99058 |
|
14,370 |
12,887 |
$215K |
| 92570 |
|
7,456 |
7,165 |
$171K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21,907 |
20,327 |
$143K |
| V5008 |
Hearing screening |
9,197 |
8,808 |
$118K |
| 87428 |
|
4,039 |
3,571 |
$118K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,633 |
3,325 |
$71K |
| 99381 |
|
787 |
685 |
$65K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,240 |
2,122 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,836 |
6,325 |
$55K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,884 |
2,729 |
$53K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
4,092 |
3,908 |
$51K |
| 36416 |
|
13,502 |
12,927 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,694 |
5,271 |
$44K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
789 |
709 |
$43K |
| 85018 |
|
15,749 |
15,093 |
$28K |
| 99383 |
|
220 |
207 |
$22K |
| 94664 |
|
1,946 |
1,570 |
$18K |
| 87807 |
|
2,378 |
2,115 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
565 |
551 |
$17K |
| 92567 |
|
1,307 |
1,260 |
$13K |
| 90723 |
|
1,660 |
1,603 |
$13K |
| 94760 |
|
12,590 |
10,949 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,217 |
3,008 |
$11K |
| 92552 |
|
876 |
757 |
$10K |
| 90670 |
|
4,777 |
4,636 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,065 |
1,002 |
$9K |
| 99384 |
|
71 |
68 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
86 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
401 |
333 |
$6K |
| 99382 |
|
59 |
57 |
$5K |
| 81003 |
|
4,604 |
4,365 |
$5K |
| 89190 |
|
3,747 |
3,333 |
$5K |
| 90680 |
|
3,585 |
3,446 |
$4K |
| 90686 |
|
3,143 |
3,010 |
$3K |
| 96127 |
|
933 |
898 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
314 |
175 |
$3K |
| 99241 |
|
73 |
71 |
$2K |
| 99173 |
|
10,921 |
10,373 |
$2K |
| 87070 |
|
381 |
371 |
$2K |
| 90696 |
|
465 |
435 |
$1K |
| 90707 |
|
290 |
278 |
$1K |
| 94667 |
|
111 |
69 |
$1K |
| 99463 |
|
15 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$959.15 |
| 96156 |
|
12 |
12 |
$925.96 |
| 99460 |
|
19 |
15 |
$908.33 |
| 90633 |
|
3,441 |
3,280 |
$869.88 |
| 85014 |
|
488 |
455 |
$868.36 |
| 99188 |
|
70 |
68 |
$795.81 |
| 90648 |
|
2,760 |
2,678 |
$741.47 |
| 90716 |
|
665 |
628 |
$694.90 |
| 90688 |
|
176 |
165 |
$650.49 |
| 90687 |
|
129 |
123 |
$563.02 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$558.14 |
| A4550 |
Surgical trays |
40 |
19 |
$512.08 |
| 90710 |
|
1,049 |
992 |
$505.46 |
| 90461 |
|
180 |
175 |
$471.07 |
| 99000 |
|
9,484 |
8,269 |
$351.42 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,340 |
2,260 |
$301.52 |
| A7015 |
Aerosol mask, used with dme nebulizer |
243 |
137 |
$257.09 |
| 90621 |
|
95 |
90 |
$256.90 |
| 90474 |
|
34 |
28 |
$249.51 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
228 |
132 |
$222.70 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
150 |
87 |
$166.33 |
| S9441 |
Asthma education, non-physician provider, per session |
1,234 |
993 |
$159.81 |
| 94762 |
|
55 |
36 |
$156.52 |
| 90700 |
|
361 |
355 |
$103.12 |
| 90674 |
|
13 |
13 |
$98.67 |
| 90685 |
|
178 |
176 |
$96.28 |
| 97802 |
|
1,349 |
1,266 |
$92.44 |
| 1005F |
|
1,344 |
1,051 |
$72.18 |
| 94761 |
|
87 |
69 |
$68.54 |
| 81001 |
|
68 |
66 |
$66.88 |
| 90698 |
|
459 |
437 |
$66.66 |
| 90734 |
|
1,159 |
1,106 |
$47.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
84 |
38 |
$47.16 |
| 90651 |
|
2,039 |
1,922 |
$37.43 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
13 |
13 |
$36.12 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
84 |
53 |
$18.96 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
925 |
893 |
$11.79 |
| 90677 |
|
1,148 |
1,046 |
$1.43 |
| 90620 |
|
85 |
85 |
$0.09 |
| 90713 |
|
92 |
81 |
$0.05 |
| 90715 |
|
661 |
633 |
$0.01 |
| 97803 |
|
60 |
42 |
$0.00 |
| 99001 |
|
358 |
279 |
$0.00 |
| 1039F |
|
14 |
12 |
$0.00 |
| 99442 |
|
42 |
42 |
$0.00 |
| 90697 |
|
807 |
762 |
$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) |
164 |
146 |
$0.00 |
| 99441 |
|
42 |
37 |
$0.00 |
| 90619 |
|
168 |
164 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
22 |
12 |
$0.00 |