| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,153 |
19,669 |
$1.49M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,122 |
11,150 |
$1.08M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,142 |
4,611 |
$432K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,821 |
4,117 |
$385K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,440 |
3,227 |
$291K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,225 |
4,576 |
$152K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,587 |
6,634 |
$141K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,426 |
3,681 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,120 |
1,070 |
$97K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,733 |
7,603 |
$77K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,865 |
10,507 |
$67K |
| 92583 |
|
2,065 |
1,917 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,462 |
4,802 |
$65K |
| 99177 |
|
12,386 |
11,308 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,447 |
2,175 |
$39K |
| 92552 |
|
1,974 |
1,852 |
$37K |
| 99381 |
|
364 |
305 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,022 |
940 |
$25K |
| 90473 |
|
2,668 |
2,330 |
$24K |
| 99215 |
Prolong outpt/office vis |
174 |
140 |
$19K |
| 83655 |
|
1,828 |
1,595 |
$18K |
| 92551 |
|
1,993 |
1,847 |
$14K |
| 96127 |
|
3,586 |
3,115 |
$12K |
| 87807 |
|
971 |
823 |
$9K |
| 36416 |
|
2,107 |
1,821 |
$7K |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
427 |
355 |
$6K |
| 80061 |
Lipid panel |
685 |
641 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
76 |
53 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
107 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
418 |
346 |
$5K |
| 83026 |
|
2,167 |
1,901 |
$4K |
| 96161 |
|
1,954 |
1,541 |
$4K |
| 90670 |
|
3,500 |
3,008 |
$4K |
| 0071A |
|
112 |
93 |
$3K |
| 99460 |
|
42 |
29 |
$3K |
| 0072A |
|
79 |
75 |
$3K |
| 99383 |
|
26 |
24 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
279 |
263 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
77 |
72 |
$2K |
| 81002 |
|
710 |
610 |
$2K |
| 90651 |
|
301 |
261 |
$1K |
| 90716 |
|
1,409 |
1,267 |
$1K |
| 90698 |
|
3,172 |
2,759 |
$1K |
| 90686 |
|
2,569 |
2,239 |
$1K |
| 90680 |
|
2,717 |
2,370 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
43 |
$825.39 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
15 |
$788.45 |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
35 |
34 |
$643.40 |
| 90707 |
|
1,406 |
1,261 |
$635.98 |
| 96380 |
|
40 |
39 |
$570.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
421 |
348 |
$532.85 |
| 0002A |
|
49 |
24 |
$531.02 |
| 90633 |
|
2,400 |
2,090 |
$505.54 |
| 74018 |
|
25 |
24 |
$467.00 |
| 94761 |
|
225 |
195 |
$460.46 |
| 90744 |
|
2,325 |
1,987 |
$241.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
12 |
$214.49 |
| 90656 |
|
228 |
227 |
$154.70 |
| 90685 |
|
282 |
248 |
$136.29 |
| 90734 |
|
271 |
248 |
$105.58 |
| 90696 |
|
516 |
480 |
$104.75 |
| 90700 |
|
680 |
574 |
$94.32 |
| 99188 |
|
12 |
12 |
$92.53 |
| 0001A |
|
20 |
14 |
$75.54 |
| 90715 |
|
298 |
260 |
$44.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
14 |
$27.12 |
| 90648 |
|
548 |
482 |
$20.89 |
| 90677 |
|
676 |
620 |
$0.00 |
| 91307 |
|
200 |
167 |
$0.00 |
| 90723 |
|
20 |
17 |
$0.00 |
| 90619 |
|
175 |
151 |
$0.00 |
| 90381 |
|
18 |
17 |
$0.00 |
| 90710 |
|
249 |
224 |
$0.00 |
| 91300 |
|
154 |
77 |
$0.00 |
| 90621 |
|
59 |
56 |
$0.00 |