| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,715 |
32,026 |
$2.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,762 |
10,920 |
$1.03M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,185 |
4,043 |
$309K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,453 |
3,325 |
$275K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,936 |
5,641 |
$242K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,023 |
2,903 |
$218K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18,123 |
8,136 |
$211K |
| 92552 |
|
8,020 |
7,773 |
$209K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,454 |
10,751 |
$152K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,661 |
1,446 |
$120K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,379 |
3,130 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,562 |
1,456 |
$104K |
| 90651 |
|
1,475 |
1,427 |
$50K |
| 90670 |
|
1,859 |
1,776 |
$35K |
| 90734 |
|
1,234 |
1,188 |
$31K |
| 85018 |
|
11,394 |
10,924 |
$25K |
| 90658 |
|
2,517 |
2,426 |
$25K |
| 99050 |
|
1,906 |
1,777 |
$22K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
8,433 |
6,286 |
$22K |
| 99173 |
|
8,510 |
8,190 |
$16K |
| 99000 |
|
4,660 |
4,283 |
$16K |
| 90633 |
|
1,209 |
1,158 |
$15K |
| 90620 |
|
464 |
445 |
$14K |
| 90716 |
|
753 |
728 |
$13K |
| 90680 |
|
877 |
835 |
$12K |
| 90648 |
|
990 |
942 |
$10K |
| 90707 |
|
768 |
733 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
98 |
93 |
$8K |
| 86580 |
|
1,012 |
949 |
$7K |
| 90723 |
|
556 |
529 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,472 |
7,847 |
$6K |
| 87807 |
|
453 |
404 |
$6K |
| 90715 |
|
358 |
344 |
$5K |
| 80061 |
Lipid panel |
383 |
368 |
$5K |
| 90710 |
|
205 |
204 |
$3K |
| 83655 |
|
259 |
242 |
$3K |
| 90697 |
|
59 |
54 |
$3K |
| 99381 |
|
43 |
40 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
206 |
181 |
$3K |
| 90696 |
|
191 |
184 |
$2K |
| 90657 |
|
225 |
217 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
28 |
$2K |
| 90461 |
|
4,145 |
3,893 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
96 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$2K |
| 90700 |
|
114 |
103 |
$1K |
| 81002 |
|
451 |
411 |
$1K |
| 99355 |
|
127 |
107 |
$899.20 |
| 99383 |
|
16 |
16 |
$539.30 |
| 90698 |
|
38 |
37 |
$477.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
50 |
50 |
$440.00 |
| 99382 |
|
12 |
12 |
$421.15 |
| 90744 |
|
26 |
26 |
$343.40 |
| 99058 |
|
15 |
14 |
$213.99 |
| A4617 |
Mouth piece |
74 |
68 |
$174.61 |
| 94760 |
|
376 |
261 |
$161.47 |
| 90473 |
|
332 |
283 |
$20.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
104 |
88 |
$4.29 |