| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,297 |
13,619 |
$761K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,032 |
7,292 |
$290K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,490 |
2,380 |
$153K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,149 |
1,122 |
$151K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
916 |
895 |
$95K |
| 99215 |
Prolong outpt/office vis |
1,176 |
1,092 |
$92K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
865 |
840 |
$79K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
876 |
669 |
$77K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
493 |
484 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
644 |
581 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
598 |
540 |
$41K |
| 92015 |
Determination of refractive state |
2,422 |
2,363 |
$40K |
| 92060 |
|
729 |
713 |
$40K |
| 92567 |
|
3,545 |
3,130 |
$38K |
| 94010 |
|
1,451 |
1,404 |
$35K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
402 |
157 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,838 |
2,560 |
$32K |
| 92579 |
|
716 |
602 |
$21K |
| 87428 |
|
357 |
334 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,147 |
1,163 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
190 |
184 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,437 |
1,092 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,192 |
1,142 |
$9K |
| 92504 |
|
468 |
431 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
86 |
$7K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
15 |
14 |
$5K |
| 92582 |
|
88 |
81 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
85 |
85 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
551 |
216 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
71 |
25 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
432 |
378 |
$4K |
| 92587 |
|
288 |
226 |
$3K |
| 92588 |
|
116 |
114 |
$3K |
| 99205 |
Prolong outpt/office vis |
27 |
26 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
15 |
$3K |
| 99243 |
|
25 |
25 |
$3K |
| 17110 |
|
16 |
16 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$2K |
| 94060 |
|
26 |
25 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
25 |
$952.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
38 |
$759.91 |
| 90461 |
|
69 |
63 |
$631.23 |
| 90474 |
|
72 |
66 |
$626.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
24 |
$604.17 |
| 99001 |
|
72 |
68 |
$536.42 |
| 99000 |
|
49 |
44 |
$501.60 |
| 69210 |
|
14 |
13 |
$375.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$164.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$126.15 |
| 87807 |
|
13 |
12 |
$113.74 |
| 83026 |
|
12 |
12 |
$41.83 |
| 96160 |
|
101 |
73 |
$29.48 |
| 90686 |
|
722 |
659 |
$17.52 |
| 94760 |
|
24 |
24 |
$1.96 |
| 3074F |
|
3,829 |
3,491 |
$1.28 |
| 3008F |
|
11,090 |
10,398 |
$1.24 |
| 3078F |
|
3,655 |
3,330 |
$1.19 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$0.50 |
| 1036F |
|
5,985 |
5,572 |
$0.37 |
| 3725F |
|
296 |
270 |
$0.02 |
| 90656 |
|
108 |
107 |
$0.00 |
| 90677 |
|
110 |
104 |
$0.00 |
| 90647 |
|
83 |
77 |
$0.00 |
| 90723 |
|
116 |
95 |
$0.00 |
| 90680 |
|
63 |
54 |
$0.00 |
| 1160F |
|
18,211 |
16,580 |
$0.00 |
| 1159F |
|
13,016 |
11,710 |
$0.00 |
| 90670 |
|
165 |
146 |
$0.00 |
| 90648 |
|
89 |
76 |
$0.00 |
| 99173 |
|
26 |
25 |
$0.00 |