| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79,596 |
72,234 |
$5.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109,931 |
100,327 |
$4.54M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24,574 |
21,134 |
$1.44M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21,581 |
20,126 |
$1.40M |
| 98960 |
|
14,597 |
9,971 |
$1.03M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,969 |
14,367 |
$986K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51,277 |
47,135 |
$684K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,418 |
8,862 |
$654K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
20,525 |
17,726 |
$552K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34,916 |
32,224 |
$514K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,957 |
14,567 |
$419K |
| 99051 |
|
15,916 |
14,755 |
$299K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,944 |
10,840 |
$251K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
8,101 |
6,489 |
$201K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16,493 |
13,511 |
$132K |
| 92551 |
|
13,939 |
13,311 |
$108K |
| 99188 |
|
5,203 |
4,278 |
$92K |
| 90474 |
|
10,422 |
9,539 |
$86K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,295 |
1,499 |
$68K |
| 83655 |
|
7,596 |
6,098 |
$68K |
| 90791 |
Psychiatric diagnostic evaluation |
830 |
749 |
$56K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,037 |
664 |
$55K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
852 |
802 |
$43K |
| 99460 |
|
983 |
918 |
$43K |
| 54150 |
|
337 |
317 |
$42K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
462 |
395 |
$29K |
| 99173 |
|
13,792 |
12,896 |
$25K |
| 87634 |
|
557 |
418 |
$21K |
| 95117 |
|
1,915 |
763 |
$17K |
| 87807 |
|
1,671 |
1,424 |
$17K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
196 |
155 |
$17K |
| 96161 |
|
3,981 |
3,132 |
$15K |
| 85018 |
|
7,242 |
6,059 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,192 |
1,793 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,913 |
1,071 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
626 |
564 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
57 |
51 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
132 |
99 |
$8K |
| 0071A |
|
171 |
128 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
580 |
524 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
82 |
$6K |
| 0072A |
|
111 |
105 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
56 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
40 |
16 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
206 |
109 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
44 |
$3K |
| 0001A |
|
55 |
50 |
$3K |
| 0002A |
|
52 |
46 |
$2K |
| 81025 |
|
466 |
399 |
$2K |
| 36416 |
|
17,374 |
13,059 |
$2K |
| 96380 |
|
75 |
67 |
$1K |
| 99382 |
|
31 |
13 |
$995.53 |
| 99383 |
|
12 |
12 |
$992.04 |
| 99381 |
|
14 |
12 |
$915.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
78 |
$742.35 |
| 99441 |
|
32 |
28 |
$326.03 |
| 81003 |
|
183 |
158 |
$247.07 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
23 |
12 |
$200.72 |
| 90716 |
|
1,803 |
1,565 |
$134.98 |
| 90785 |
|
26 |
26 |
$79.12 |
| 96127 |
|
96 |
82 |
$9.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
559 |
453 |
$1.74 |
| 90651 |
|
3,699 |
3,461 |
$0.16 |
| 90633 |
|
10,578 |
9,381 |
$0.12 |
| 90671 |
|
6,277 |
4,841 |
$0.04 |
| 90710 |
|
1,929 |
1,779 |
$0.01 |
| 90700 |
|
2,256 |
2,040 |
$0.00 |
| 90670 |
|
12,331 |
11,757 |
$0.00 |
| 90734 |
|
1,826 |
1,763 |
$0.00 |
| 90621 |
|
637 |
600 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
78 |
64 |
$0.00 |
| 90707 |
|
1,708 |
1,488 |
$0.00 |
| 90648 |
|
1,258 |
1,148 |
$0.00 |
| 91300 |
|
142 |
115 |
$0.00 |
| 90715 |
|
1,106 |
1,032 |
$0.00 |
| 90685 |
|
937 |
908 |
$0.00 |
| 90661 |
|
68 |
59 |
$0.00 |
| 90744 |
|
4,584 |
4,391 |
$0.00 |
| 90697 |
|
4,841 |
4,181 |
$0.00 |
| 90696 |
|
1,733 |
1,603 |
$0.00 |
| 90698 |
|
7,056 |
6,786 |
$0.00 |
| 90686 |
|
7,358 |
6,987 |
$0.00 |
| 90680 |
|
10,459 |
9,566 |
$0.00 |
| 90619 |
|
1,211 |
1,022 |
$0.00 |
| 99000 |
|
5,362 |
4,141 |
$0.00 |
| 91307 |
|
326 |
246 |
$0.00 |
| 90674 |
|
2,795 |
2,411 |
$0.00 |
| 90381 |
|
18 |
15 |
$0.00 |