| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,315 |
53,763 |
$7.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,906 |
17,338 |
$2.37M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,994 |
11,375 |
$1.65M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,130 |
10,680 |
$1.56M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,336 |
5,997 |
$871K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,292 |
5,610 |
$821K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,945 |
4,611 |
$662K |
| 59426 |
|
1,449 |
783 |
$167K |
| 59425 |
|
1,321 |
932 |
$141K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,660 |
8,383 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
180 |
158 |
$16K |
| 96127 |
|
6,755 |
6,298 |
$13K |
| 59430 |
|
184 |
158 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
91 |
84 |
$12K |
| 76830 |
Ultrasound, transvaginal |
484 |
404 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,682 |
2,454 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
533 |
433 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
354 |
311 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
61 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29,722 |
27,540 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18,887 |
17,873 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,068 |
5,711 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
7,416 |
6,242 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
967 |
729 |
$3K |
| 92551 |
|
9,406 |
8,845 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,841 |
4,129 |
$1K |
| 76801 |
|
150 |
124 |
$1K |
| 90474 |
|
6,237 |
5,973 |
$1K |
| 96160 |
|
4,801 |
4,504 |
$1K |
| 96161 |
|
4,706 |
4,438 |
$830.94 |
| 99173 |
|
11,168 |
10,424 |
$405.36 |
| 81025 |
|
1,315 |
1,142 |
$395.16 |
| 0071A |
|
34 |
27 |
$293.62 |
| 87807 |
|
1,892 |
1,673 |
$279.72 |
| 81002 |
|
569 |
532 |
$250.88 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
24 |
$232.54 |
| 90651 |
|
2,321 |
2,211 |
$227.93 |
| 87428 |
|
6,357 |
5,332 |
$195.54 |
| 74018 |
|
663 |
577 |
$154.98 |
| 90619 |
|
611 |
541 |
$151.41 |
| 90734 |
|
1,060 |
1,047 |
$151.41 |
| 81003 |
|
2,071 |
1,818 |
$151.41 |
| 0072A |
|
12 |
12 |
$143.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,597 |
3,983 |
$92.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
617 |
489 |
$88.68 |
| 3008F |
|
24,901 |
21,201 |
$71.71 |
| 90677 |
|
1,267 |
1,192 |
$3.52 |
| 90680 |
|
4,057 |
3,863 |
$2.44 |
| 90633 |
|
4,017 |
3,769 |
$1.95 |
| 90698 |
|
5,236 |
5,103 |
$0.85 |
| 90696 |
|
1,114 |
1,055 |
$0.41 |
| 90710 |
|
1,146 |
1,089 |
$0.40 |
| 90697 |
|
1,998 |
1,811 |
$0.00 |
| 70210 |
|
242 |
226 |
$0.00 |
| 1036F |
|
39,105 |
31,578 |
$0.00 |
| 1034F |
|
1,524 |
968 |
$0.00 |
| 90744 |
|
1,583 |
1,572 |
$0.00 |
| 90716 |
|
1,011 |
930 |
$0.00 |
| 3079F |
|
832 |
626 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,493 |
3,043 |
$0.00 |
| 90686 |
|
3,815 |
3,639 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,623 |
2,408 |
$0.00 |
| 3075F |
|
350 |
292 |
$0.00 |
| 3074F |
|
12,291 |
10,609 |
$0.00 |
| 87430 |
|
1,443 |
1,302 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
522 |
430 |
$0.00 |
| 99024 |
|
74 |
55 |
$0.00 |
| 3080F |
|
17 |
12 |
$0.00 |
| 1126F |
|
427 |
409 |
$0.00 |
| 90688 |
|
122 |
120 |
$0.00 |
| 1035F |
|
43 |
24 |
$0.00 |
| 1125F |
|
18 |
18 |
$0.00 |
| 90656 |
|
164 |
160 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
64 |
49 |
$0.00 |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
297 |
239 |
$0.00 |
| 1160F |
|
19,795 |
17,004 |
$0.00 |
| 3078F |
|
11,995 |
10,413 |
$0.00 |
| 90621 |
|
551 |
525 |
$0.00 |
| 90670 |
|
6,220 |
5,965 |
$0.00 |
| 90715 |
|
860 |
794 |
$0.00 |
| 1159F |
|
16,103 |
13,840 |
$0.00 |
| 3725F |
|
4,082 |
3,759 |
$0.00 |
| 90707 |
|
983 |
910 |
$0.00 |
| 87420 |
|
425 |
383 |
$0.00 |
| 90687 |
|
13 |
12 |
$0.00 |
| 3077F |
|
67 |
42 |
$0.00 |
| 90681 |
|
39 |
39 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
16 |
$0.00 |