| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,697 |
22,820 |
$1.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,488 |
8,802 |
$962K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,821 |
5,591 |
$656K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,111 |
4,916 |
$555K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,843 |
4,418 |
$492K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,815 |
2,691 |
$339K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,496 |
11,852 |
$214K |
| 92552 |
|
12,333 |
11,725 |
$149K |
| 97803 |
|
9,309 |
8,833 |
$61K |
| 99381 |
|
833 |
632 |
$58K |
| 99188 |
|
6,867 |
6,411 |
$56K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,699 |
1,643 |
$48K |
| 90461 |
|
1,417 |
1,347 |
$46K |
| 90670 |
|
2,637 |
2,411 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,344 |
1,295 |
$43K |
| 81002 |
|
12,446 |
11,732 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,875 |
1,767 |
$23K |
| 99050 |
|
3,268 |
3,037 |
$15K |
| 99051 |
|
3,598 |
3,392 |
$14K |
| 90619 |
|
329 |
318 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,412 |
2,312 |
$12K |
| 85013 |
|
4,267 |
4,038 |
$12K |
| 99441 |
|
450 |
352 |
$9K |
| 90647 |
|
1,547 |
1,416 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,765 |
3,437 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
65 |
$8K |
| 90651 |
|
1,185 |
1,134 |
$8K |
| 90713 |
|
436 |
383 |
$7K |
| 90707 |
|
674 |
639 |
$6K |
| H0049 |
Alcohol and/or drug screening |
385 |
375 |
$6K |
| 83655 |
|
3,426 |
3,228 |
$6K |
| 90633 |
|
1,718 |
1,632 |
$6K |
| 90716 |
|
655 |
616 |
$6K |
| 90700 |
|
1,304 |
1,200 |
$6K |
| 99383 |
|
41 |
40 |
$5K |
| 2015F |
|
1,123 |
1,013 |
$5K |
| 90710 |
|
642 |
590 |
$5K |
| 90686 |
|
1,500 |
1,369 |
$5K |
| 92585 |
|
368 |
363 |
$4K |
| 90698 |
|
820 |
775 |
$4K |
| 90677 |
|
385 |
380 |
$3K |
| 0071A |
|
160 |
118 |
$3K |
| 90715 |
|
308 |
286 |
$3K |
| 99382 |
|
28 |
26 |
$3K |
| 87490 |
|
856 |
806 |
$2K |
| 90734 |
|
666 |
606 |
$2K |
| 87590 |
|
849 |
799 |
$2K |
| 90680 |
|
1,799 |
1,652 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
474 |
447 |
$2K |
| 0001A |
|
104 |
98 |
$1K |
| 2014F |
|
225 |
211 |
$1K |
| 0072A |
|
64 |
52 |
$1K |
| 90685 |
|
186 |
174 |
$932.85 |
| 99173 |
|
14,689 |
11,545 |
$861.03 |
| 90621 |
|
622 |
595 |
$791.66 |
| 92588 |
|
46 |
40 |
$785.27 |
| 87110 |
|
44 |
44 |
$665.24 |
| 90723 |
|
368 |
341 |
$594.73 |
| 0081A |
|
24 |
22 |
$520.00 |
| 90696 |
|
234 |
223 |
$407.91 |
| 90473 |
|
76 |
76 |
$360.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
13,177 |
10,263 |
$335.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
25 |
$234.06 |
| 91300 |
|
137 |
112 |
$198.88 |
| 96160 |
|
530 |
488 |
$194.87 |
| 0082A |
|
22 |
12 |
$120.00 |
| 90672 |
|
91 |
91 |
$114.75 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
84 |
80 |
$100.88 |
| 87807 |
|
131 |
129 |
$89.34 |
| 81025 |
|
30 |
28 |
$88.38 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
25 |
24 |
$77.76 |
| 0002A |
|
63 |
63 |
$48.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,675 |
1,204 |
$12.50 |
| 94760 |
|
58 |
42 |
$2.83 |
| 90744 |
|
285 |
269 |
$0.00 |
| 91307 |
|
292 |
159 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
36 |
36 |
$0.00 |
| 92587 |
|
13 |
13 |
$0.00 |
| 91308 |
|
51 |
35 |
$0.00 |