| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,755 |
12,793 |
$892K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,277 |
10,170 |
$481K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,528 |
13,310 |
$384K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,738 |
3,442 |
$229K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,175 |
3,110 |
$221K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,327 |
3,160 |
$203K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,927 |
2,874 |
$172K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,691 |
7,133 |
$100K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,199 |
4,556 |
$88K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,221 |
1,425 |
$87K |
| 92551 |
|
10,450 |
7,621 |
$57K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,428 |
1,111 |
$50K |
| 81025 |
|
13,749 |
7,937 |
$49K |
| 99385 |
|
998 |
673 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,077 |
3,137 |
$31K |
| 99384 |
|
490 |
288 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
518 |
336 |
$23K |
| 85018 |
|
15,840 |
10,270 |
$22K |
| 85014 |
|
15,068 |
9,691 |
$21K |
| 81002 |
|
13,303 |
8,791 |
$20K |
| 87428 |
|
783 |
549 |
$16K |
| 99499 |
|
1,790 |
1,385 |
$16K |
| 99381 |
|
354 |
223 |
$15K |
| 90474 |
|
2,199 |
1,662 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,150 |
624 |
$14K |
| 99173 |
|
10,865 |
7,860 |
$13K |
| 97802 |
|
4,429 |
2,706 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
674 |
530 |
$8K |
| 80305 |
|
1,239 |
819 |
$7K |
| 83655 |
|
684 |
602 |
$7K |
| 99188 |
|
362 |
282 |
$5K |
| 95117 |
|
561 |
236 |
$5K |
| 87807 |
|
528 |
306 |
$4K |
| 99386 |
|
39 |
28 |
$2K |
| 96160 |
|
8,062 |
4,762 |
$2K |
| 99051 |
|
241 |
185 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
128 |
102 |
$1K |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
791 |
511 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 94150 |
|
378 |
241 |
$1K |
| 90473 |
|
160 |
105 |
$1K |
| 0072A |
|
24 |
24 |
$1K |
| 0071A |
|
34 |
26 |
$1K |
| 0002A |
|
26 |
26 |
$1K |
| 99383 |
|
14 |
12 |
$993.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
161 |
84 |
$977.01 |
| 0001A |
|
15 |
15 |
$646.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
34 |
$360.31 |
| 96380 |
|
32 |
22 |
$339.68 |
| 96127 |
|
133 |
100 |
$295.93 |
| 86308 |
|
14 |
13 |
$25.75 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
888 |
524 |
$25.05 |
| 90633 |
|
2,863 |
1,886 |
$8.08 |
| 90651 |
|
1,569 |
1,110 |
$4.44 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
891 |
528 |
$3.91 |
| 90647 |
|
1,259 |
960 |
$3.85 |
| 90670 |
|
3,251 |
2,362 |
$3.16 |
| 90620 |
|
900 |
614 |
$1.76 |
| 90677 |
|
975 |
508 |
$1.57 |
| 90619 |
|
324 |
254 |
$0.11 |
| 90380 |
|
18 |
13 |
$0.02 |
| 90381 |
|
36 |
13 |
$0.02 |
| 90710 |
|
201 |
114 |
$0.00 |
| 90713 |
|
196 |
110 |
$0.00 |
| 90700 |
|
1,642 |
1,059 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23 |
20 |
$0.00 |
| 91300 |
|
62 |
57 |
$0.00 |
| 90734 |
|
786 |
488 |
$0.00 |
| 90715 |
|
135 |
93 |
$0.00 |
| 90707 |
|
153 |
105 |
$0.00 |
| 90672 |
|
331 |
194 |
$0.00 |
| 90685 |
|
35 |
28 |
$0.00 |
| 99072 |
|
21 |
15 |
$0.00 |
| 90680 |
|
2,291 |
1,651 |
$0.00 |
| 90698 |
|
380 |
234 |
$0.00 |
| 90686 |
|
638 |
461 |
$0.00 |
| 90723 |
|
768 |
625 |
$0.00 |
| 90697 |
|
1,176 |
709 |
$0.00 |
| 90716 |
|
173 |
114 |
$0.00 |
| 90688 |
|
53 |
47 |
$0.00 |
| 91307 |
|
63 |
52 |
$0.00 |