| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,976 |
24,451 |
$1.11M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,183 |
8,051 |
$373K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,501 |
4,963 |
$254K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,994 |
2,937 |
$231K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,931 |
2,835 |
$216K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,623 |
2,563 |
$208K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,532 |
9,175 |
$174K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,457 |
5,214 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,466 |
1,410 |
$104K |
| S8301 |
Infection control supplies, not otherwise specified |
6,754 |
6,099 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,215 |
4,022 |
$89K |
| 99429 |
|
2,582 |
2,496 |
$78K |
| 99050 |
|
5,139 |
4,445 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,852 |
5,464 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,840 |
4,928 |
$38K |
| 92552 |
|
4,442 |
4,296 |
$31K |
| 99000 |
|
3,630 |
3,329 |
$24K |
| 99051 |
|
4,691 |
4,122 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,148 |
2,004 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,568 |
3,262 |
$15K |
| 87807 |
|
1,857 |
1,702 |
$14K |
| 90461 |
|
2,993 |
2,488 |
$14K |
| 81002 |
|
6,579 |
6,154 |
$12K |
| 0001A |
|
293 |
280 |
$11K |
| 0002A |
|
259 |
258 |
$10K |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
3,811 |
3,708 |
$8K |
| 0071A |
|
218 |
196 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
70 |
$7K |
| 0072A |
|
166 |
166 |
$7K |
| 96160 |
|
8,118 |
6,708 |
$6K |
| 83655 |
|
309 |
303 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
412 |
340 |
$3K |
| 86580 |
|
301 |
299 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$2K |
| S9441 |
Asthma education, non-physician provider, per session |
1,440 |
1,338 |
$2K |
| CP002 |
|
165 |
125 |
$2K |
| 97169 |
|
119 |
116 |
$1K |
| 0004A |
|
45 |
36 |
$1K |
| 0111A |
|
34 |
32 |
$1K |
| 0053A |
|
29 |
28 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99381 |
|
13 |
12 |
$947.87 |
| 92587 |
|
205 |
203 |
$812.97 |
| 0073A |
|
12 |
12 |
$480.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
288 |
240 |
$477.81 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
30 |
$345.10 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$291.13 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
28 |
$273.85 |
| 90677 |
|
191 |
189 |
$254.12 |
| 69210 |
|
13 |
13 |
$225.66 |
| 84030 |
|
27 |
26 |
$83.16 |
| 82270 |
|
12 |
12 |
$18.40 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
13 |
$0.44 |
| 90651 |
|
482 |
474 |
$0.02 |
| 90686 |
|
1,542 |
1,505 |
$0.02 |
| 90698 |
|
953 |
940 |
$0.00 |
| 96127 |
|
870 |
847 |
$0.00 |
| 3008F |
|
5,872 |
5,683 |
$0.00 |
| 91307 |
|
465 |
414 |
$0.00 |
| 94760 |
|
28 |
27 |
$0.00 |
| 90716 |
|
719 |
709 |
$0.00 |
| 3074F |
|
4,113 |
3,968 |
$0.00 |
| 2000F |
|
772 |
766 |
$0.00 |
| 91305 |
|
62 |
60 |
$0.00 |
| 90744 |
|
524 |
516 |
$0.00 |
| 90620 |
|
30 |
29 |
$0.00 |
| 99070 |
|
712 |
632 |
$0.00 |
| 90688 |
|
32 |
32 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 90633 |
|
676 |
669 |
$0.00 |
| 99173 |
|
4,871 |
4,685 |
$0.00 |
| 90707 |
|
706 |
697 |
$0.00 |
| 90670 |
|
1,079 |
1,063 |
$0.00 |
| 90648 |
|
57 |
57 |
$0.00 |
| 90700 |
|
633 |
626 |
$0.00 |
| 99072 |
|
665 |
552 |
$0.00 |
| 91311 |
|
47 |
45 |
$0.00 |
| 90734 |
|
701 |
689 |
$0.00 |
| 90681 |
|
327 |
322 |
$0.00 |
| 91300 |
|
656 |
572 |
$0.00 |
| 90713 |
|
148 |
144 |
$0.00 |
| 94664 |
|
1,710 |
1,591 |
$0.00 |
| 90715 |
|
148 |
145 |
$0.00 |