| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,660 |
18,959 |
$1.24M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,551 |
5,295 |
$410K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,539 |
4,366 |
$341K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,001 |
3,841 |
$326K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,208 |
3,018 |
$267K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,569 |
2,474 |
$184K |
| 92551 |
|
14,036 |
13,325 |
$129K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,257 |
3,076 |
$114K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,047 |
6,492 |
$94K |
| 90651 |
|
2,070 |
1,987 |
$88K |
| 90686 |
|
7,286 |
6,986 |
$82K |
| 90670 |
|
2,577 |
2,499 |
$57K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,579 |
1,922 |
$50K |
| 90734 |
|
1,546 |
1,470 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,551 |
4,397 |
$36K |
| 99173 |
|
11,931 |
11,291 |
$27K |
| 90723 |
|
1,817 |
1,765 |
$27K |
| 90680 |
|
1,716 |
1,667 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
742 |
700 |
$25K |
| 90620 |
|
679 |
659 |
$25K |
| 90633 |
|
1,856 |
1,792 |
$23K |
| 99188 |
|
1,044 |
1,006 |
$21K |
| 90710 |
|
564 |
543 |
$21K |
| 96127 |
|
3,462 |
3,231 |
$16K |
| 90648 |
|
1,293 |
1,253 |
$14K |
| 90647 |
|
989 |
949 |
$11K |
| 90715 |
|
744 |
710 |
$11K |
| 85018 |
|
4,573 |
4,400 |
$11K |
| 99177 |
|
2,093 |
2,057 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
118 |
116 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,785 |
10,207 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
578 |
385 |
$9K |
| 90696 |
|
534 |
514 |
$8K |
| 83655 |
|
643 |
619 |
$7K |
| 90621 |
|
235 |
221 |
$7K |
| 85014 |
|
2,561 |
2,459 |
$6K |
| 90716 |
|
349 |
335 |
$6K |
| 90461 |
|
4,406 |
4,146 |
$6K |
| 0071A |
|
133 |
132 |
$5K |
| 87807 |
|
390 |
369 |
$5K |
| 0072A |
|
119 |
119 |
$5K |
| 90707 |
|
316 |
306 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
139 |
137 |
$4K |
| 90700 |
|
355 |
334 |
$4K |
| 0001A |
|
155 |
126 |
$4K |
| 0002A |
|
101 |
100 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
229 |
213 |
$4K |
| 81002 |
|
1,166 |
1,094 |
$3K |
| 94760 |
|
2,027 |
1,723 |
$3K |
| 97802 |
|
2,632 |
2,491 |
$3K |
| 86580 |
|
421 |
386 |
$3K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
192 |
181 |
$2K |
| 94010 |
|
57 |
49 |
$2K |
| 86328 |
|
35 |
34 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,401 |
1,340 |
$999.40 |
| 87428 |
|
40 |
32 |
$990.08 |
| 96160 |
|
406 |
393 |
$760.58 |
| 0111A |
|
14 |
14 |
$560.00 |
| 90685 |
|
48 |
48 |
$555.48 |
| 69210 |
|
13 |
12 |
$492.64 |
| 36416 |
|
2,519 |
2,380 |
$387.84 |
| 99000 |
|
56 |
53 |
$209.78 |
| 99383 |
|
14 |
13 |
$175.48 |
| 96161 |
|
19 |
19 |
$38.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
40 |
$36.10 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
224 |
212 |
$17.65 |
| 91300 |
|
275 |
239 |
$1.60 |
| 91307 |
|
302 |
278 |
$0.61 |
| 91311 |
|
20 |
18 |
$0.15 |
| 90688 |
|
18 |
18 |
$0.13 |
| 99401 |
|
26 |
26 |
$0.00 |