| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,191 |
12,881 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,121 |
15,061 |
$973K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,397 |
3,273 |
$288K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,734 |
3,529 |
$287K |
| 97802 |
|
10,155 |
9,635 |
$190K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
8,564 |
7,579 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,183 |
2,100 |
$166K |
| 90686 |
|
4,694 |
4,492 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,788 |
2,710 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,351 |
1,551 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
583 |
570 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,741 |
2,486 |
$34K |
| 90651 |
|
898 |
861 |
$28K |
| 99173 |
|
8,850 |
8,427 |
$21K |
| 99000 |
|
8,074 |
7,541 |
$19K |
| 96127 |
|
3,719 |
3,599 |
$18K |
| 0002A |
|
355 |
351 |
$14K |
| 0001A |
|
376 |
370 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,761 |
1,618 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
271 |
248 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
982 |
954 |
$9K |
| 90672 |
|
703 |
682 |
$9K |
| 90670 |
|
291 |
279 |
$8K |
| 90619 |
|
273 |
269 |
$7K |
| 90656 |
|
369 |
369 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
209 |
202 |
$7K |
| 90734 |
|
277 |
270 |
$6K |
| 90698 |
|
287 |
276 |
$5K |
| 90658 |
|
236 |
217 |
$2K |
| 36416 |
|
5,609 |
5,195 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
295 |
281 |
$2K |
| 0004A |
|
41 |
41 |
$2K |
| 90715 |
|
126 |
116 |
$2K |
| 99177 |
|
376 |
369 |
$1K |
| 90621 |
|
52 |
52 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90685 |
|
72 |
67 |
$770.96 |
| 90680 |
|
35 |
33 |
$730.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
320 |
286 |
$730.60 |
| 0124A |
|
18 |
18 |
$720.00 |
| 90707 |
|
30 |
26 |
$432.34 |
| 90716 |
|
14 |
14 |
$403.44 |
| 94760 |
|
147 |
138 |
$211.95 |
| 90633 |
|
12 |
12 |
$154.29 |
| 90744 |
|
12 |
12 |
$144.72 |
| 96161 |
|
71 |
65 |
$117.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$107.06 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
25 |
25 |
$47.30 |
| 81002 |
|
12 |
12 |
$31.21 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
14 |
$2.31 |
| 99072 |
|
803 |
786 |
$0.00 |