| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,058 |
37,752 |
$2.03M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
65,525 |
28,576 |
$1.30M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,127 |
11,551 |
$990K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,714 |
11,102 |
$937K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,909 |
7,294 |
$707K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,786 |
8,426 |
$668K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,090 |
12,853 |
$457K |
| 96160 |
|
19,672 |
13,786 |
$261K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,386 |
2,082 |
$214K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,284 |
6,079 |
$176K |
| 96127 |
|
41,972 |
24,007 |
$173K |
| 85013 |
|
34,525 |
29,397 |
$170K |
| 96161 |
|
8,985 |
7,423 |
$138K |
| 99173 |
|
25,057 |
20,971 |
$130K |
| 99381 |
|
1,327 |
1,108 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,293 |
1,086 |
$88K |
| 92551 |
|
10,803 |
9,246 |
$79K |
| 36416 |
|
42,076 |
35,776 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,597 |
2,086 |
$57K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,061 |
1,617 |
$52K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,255 |
5,415 |
$51K |
| 81002 |
|
19,542 |
15,988 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,139 |
3,684 |
$46K |
| 3008F |
|
30,053 |
25,537 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
580 |
430 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
368 |
283 |
$24K |
| 99383 |
|
238 |
205 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
9,714 |
7,963 |
$19K |
| 99201 |
|
514 |
445 |
$15K |
| 90651 |
|
5,538 |
4,473 |
$15K |
| 99460 |
|
266 |
247 |
$15K |
| 87807 |
|
1,408 |
1,076 |
$13K |
| 95930 |
|
205 |
184 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,047 |
4,097 |
$11K |
| 99382 |
|
93 |
84 |
$8K |
| 99384 |
|
76 |
64 |
$7K |
| 90620 |
|
1,666 |
1,273 |
$7K |
| 90734 |
|
4,485 |
3,646 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
95 |
92 |
$6K |
| 92567 |
|
356 |
293 |
$5K |
| 81025 |
|
1,005 |
805 |
$5K |
| 99401 |
|
187 |
130 |
$5K |
| 90716 |
|
3,688 |
3,164 |
$4K |
| 90461 |
|
17,895 |
12,637 |
$3K |
| 69210 |
|
100 |
68 |
$3K |
| 90715 |
|
1,901 |
1,566 |
$2K |
| 90707 |
|
3,689 |
3,160 |
$2K |
| 90670 |
|
9,281 |
7,917 |
$2K |
| 90686 |
|
5,596 |
4,575 |
$2K |
| 90696 |
|
1,921 |
1,636 |
$1K |
| 90697 |
|
1,189 |
1,050 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$1K |
| 90698 |
|
7,684 |
6,565 |
$960.00 |
| 94760 |
|
827 |
674 |
$859.77 |
| 90680 |
|
5,984 |
5,074 |
$835.89 |
| 90633 |
|
6,010 |
5,222 |
$824.39 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
56 |
43 |
$787.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
50 |
$725.76 |
| 69209 |
|
82 |
42 |
$465.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
55 |
$440.66 |
| 90744 |
|
4,546 |
3,833 |
$429.38 |
| 99462 |
|
14 |
13 |
$402.83 |
| 90473 |
|
5,920 |
5,030 |
$332.15 |
| 90688 |
|
1,389 |
1,168 |
$313.32 |
| 90677 |
|
228 |
178 |
$300.00 |
| 90671 |
|
1,007 |
935 |
$270.00 |
| 90710 |
|
785 |
696 |
$270.00 |
| 90674 |
|
396 |
294 |
$136.08 |
| A7015 |
Aerosol mask, used with dme nebulizer |
75 |
59 |
$34.56 |
| 99000 |
|
19,570 |
16,529 |
$31.06 |
| 90685 |
|
312 |
287 |
$27.29 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
75 |
59 |
$9.58 |
| 90656 |
|
505 |
487 |
$0.00 |
| 90723 |
|
745 |
619 |
$0.00 |
| 90648 |
|
1,001 |
840 |
$0.00 |
| 90700 |
|
244 |
215 |
$0.00 |
| 90713 |
|
18 |
16 |
$0.00 |