| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,061 |
52,022 |
$5.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71,157 |
65,809 |
$4.59M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30,574 |
29,172 |
$1.73M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,473 |
12,222 |
$1.26M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,059 |
11,467 |
$1.18M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,145 |
5,956 |
$670K |
| 99051 |
|
23,824 |
22,474 |
$612K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,355 |
5,934 |
$571K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,631 |
8,336 |
$442K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,677 |
9,324 |
$378K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,575 |
839 |
$270K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,668 |
15,800 |
$260K |
| 95117 |
|
11,924 |
5,636 |
$227K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,311 |
12,604 |
$209K |
| 99429 |
|
13,836 |
7,284 |
$205K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
508 |
494 |
$145K |
| 96127 |
|
14,300 |
13,463 |
$66K |
| 99173 |
|
23,476 |
22,663 |
$57K |
| D1206 |
Topical application of fluoride varnish |
3,039 |
2,926 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,464 |
3,103 |
$49K |
| 96160 |
|
9,658 |
9,231 |
$39K |
| 92551 |
|
8,345 |
8,044 |
$30K |
| 87807 |
|
1,704 |
1,602 |
$27K |
| 96161 |
|
5,386 |
4,732 |
$20K |
| 85018 |
|
4,071 |
3,845 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
553 |
476 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
466 |
441 |
$9K |
| 90686 |
|
3,649 |
3,530 |
$8K |
| G9920 |
Screening performed and negative |
1,049 |
1,009 |
$7K |
| 90670 |
|
4,980 |
4,719 |
$7K |
| 90713 |
|
6,383 |
6,079 |
$7K |
| 83655 |
|
617 |
567 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
57 |
$6K |
| 0001A |
|
133 |
127 |
$6K |
| 90671 |
|
332 |
310 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
287 |
241 |
$4K |
| 99381 |
|
42 |
36 |
$4K |
| 0002A |
|
79 |
79 |
$3K |
| 94760 |
|
445 |
421 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
45 |
45 |
$3K |
| 2014F |
|
308 |
281 |
$2K |
| 90716 |
|
1,365 |
1,276 |
$2K |
| 91300 |
|
290 |
258 |
$2K |
| 90651 |
|
844 |
824 |
$2K |
| 95115 |
|
135 |
66 |
$2K |
| 99050 |
|
86 |
82 |
$2K |
| 90707 |
|
1,385 |
1,324 |
$2K |
| 90672 |
|
318 |
293 |
$2K |
| 90744 |
|
1,101 |
1,046 |
$1K |
| 0072A |
|
34 |
34 |
$1K |
| 0071A |
|
31 |
31 |
$1K |
| 94150 |
|
167 |
154 |
$1K |
| 81003 |
|
414 |
365 |
$1K |
| 90633 |
|
1,456 |
1,369 |
$926.46 |
| 90649 |
|
441 |
419 |
$880.51 |
| 99188 |
|
36 |
36 |
$728.28 |
| 36416 |
|
5,986 |
5,534 |
$675.03 |
| A7015 |
Aerosol mask, used with dme nebulizer |
398 |
377 |
$672.26 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
473 |
447 |
$664.50 |
| 92588 |
|
18 |
18 |
$559.64 |
| 86580 |
|
60 |
52 |
$527.45 |
| 90680 |
|
1,590 |
1,514 |
$445.51 |
| 90734 |
|
501 |
493 |
$406.74 |
| 90621 |
|
96 |
92 |
$400.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
149 |
141 |
$326.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$316.26 |
| 90685 |
|
342 |
326 |
$126.73 |
| 99408 |
|
64 |
64 |
$120.28 |
| 86308 |
|
15 |
14 |
$106.78 |
| 90700 |
|
9,224 |
8,718 |
$97.94 |
| 99406 |
|
77 |
77 |
$91.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
33 |
28 |
$57.70 |
| 90715 |
|
124 |
123 |
$50.06 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,849 |
1,800 |
$36.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
43 |
$35.10 |
| 90648 |
|
5,115 |
4,835 |
$32.32 |
| 3085F |
|
158 |
157 |
$20.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
417 |
394 |
$11.32 |
| 90619 |
|
88 |
80 |
$0.00 |
| 99174 |
|
118 |
117 |
$0.00 |
| 97802 |
|
321 |
319 |
$0.00 |
| 90647 |
|
26 |
26 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 99401 |
|
122 |
121 |
$0.00 |
| 99072 |
|
320 |
304 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |