| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,531 |
20,992 |
$884K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,363 |
8,747 |
$518K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,627 |
3,520 |
$318K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,646 |
6,304 |
$301K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,191 |
3,109 |
$298K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27,317 |
12,057 |
$295K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,736 |
2,520 |
$226K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,179 |
2,123 |
$217K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,530 |
4,702 |
$141K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,047 |
2,877 |
$77K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,684 |
6,916 |
$71K |
| 99215 |
Prolong outpt/office vis |
686 |
556 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,409 |
3,319 |
$50K |
| 90461 |
|
5,787 |
4,509 |
$27K |
| 0071A |
|
451 |
449 |
$20K |
| 87081 |
|
2,852 |
2,775 |
$17K |
| 0072A |
|
347 |
345 |
$15K |
| 94010 |
|
539 |
71 |
$14K |
| 0001A |
|
194 |
185 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
665 |
631 |
$8K |
| 96160 |
|
5,030 |
4,328 |
$7K |
| 0002A |
|
143 |
141 |
$6K |
| 87430 |
|
411 |
395 |
$6K |
| 90480 |
|
155 |
153 |
$5K |
| 87807 |
|
451 |
409 |
$5K |
| 99417 |
Prolong home eval add 15m |
182 |
141 |
$5K |
| 0081A |
|
110 |
109 |
$5K |
| 0124A |
|
97 |
96 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
407 |
336 |
$3K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
80 |
74 |
$2K |
| 0074A |
|
35 |
35 |
$1K |
| 0154A |
|
28 |
28 |
$1K |
| 0054A |
|
25 |
24 |
$1K |
| 90686 |
|
6,597 |
6,335 |
$1K |
| 0082A |
|
20 |
20 |
$894.40 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$713.33 |
| 0121A |
|
16 |
15 |
$667.20 |
| 69210 |
|
12 |
12 |
$631.80 |
| 99429 |
|
18 |
14 |
$525.00 |
| 0151A |
|
12 |
12 |
$488.00 |
| 90670 |
|
1,929 |
1,842 |
$437.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$289.70 |
| 92551 |
|
8,798 |
8,629 |
$245.18 |
| 90620 |
|
87 |
84 |
$237.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
16 |
$180.46 |
| 99173 |
|
8,788 |
8,615 |
$106.76 |
| 90680 |
|
658 |
631 |
$79.18 |
| 90648 |
|
1,866 |
1,786 |
$44.34 |
| 99051 |
|
4,054 |
3,898 |
$30.60 |
| 90723 |
|
906 |
874 |
$14.25 |
| 85007 |
|
386 |
317 |
$6.38 |
| 36416 |
|
898 |
757 |
$2.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
15 |
$1.97 |
| 91307 |
|
1,147 |
1,104 |
$0.31 |
| 91308 |
|
302 |
283 |
$0.10 |
| 91320 |
|
13 |
13 |
$0.09 |
| 90651 |
|
237 |
225 |
$0.06 |
| 91305 |
|
248 |
240 |
$0.06 |
| 91312 |
|
113 |
111 |
$0.02 |
| 91315 |
|
40 |
40 |
$0.01 |
| 90677 |
|
61 |
60 |
$0.01 |
| 99174 |
|
355 |
352 |
$0.00 |
| 94760 |
|
20 |
19 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90633 |
|
310 |
296 |
$0.00 |
| 91300 |
|
512 |
448 |
$0.00 |
| 99072 |
|
5,872 |
5,487 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90734 |
|
102 |
99 |
$0.00 |
| 90700 |
|
30 |
29 |
$0.00 |
| 94664 |
|
52 |
43 |
$0.00 |