| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,265 |
3,235 |
$304K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,081 |
20,093 |
$275K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,921 |
2,902 |
$260K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,587 |
2,561 |
$256K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,326 |
8,174 |
$195K |
| 87428 |
|
2,383 |
2,262 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,766 |
1,729 |
$150K |
| 99050 |
|
1,341 |
1,299 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,913 |
5,474 |
$109K |
| S8301 |
Infection control supplies, not otherwise specified |
24,024 |
19,397 |
$101K |
| 99429 |
|
2,560 |
2,542 |
$95K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,317 |
1,261 |
$56K |
| 97802 |
|
7,339 |
7,287 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,090 |
2,215 |
$29K |
| 99381 |
|
173 |
169 |
$15K |
| 90461 |
|
3,648 |
3,066 |
$13K |
| 99051 |
|
1,654 |
1,577 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
114 |
114 |
$11K |
| 0071A |
|
162 |
162 |
$7K |
| 0072A |
|
147 |
147 |
$6K |
| 96160 |
|
2,868 |
2,845 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
42 |
41 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,193 |
1,153 |
$4K |
| 0001A |
|
125 |
115 |
$4K |
| 99000 |
|
811 |
784 |
$4K |
| 0002A |
|
99 |
93 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
44 |
42 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
386 |
383 |
$2K |
| 90619 |
|
442 |
442 |
$2K |
| 0154A |
|
37 |
36 |
$1K |
| 0003A |
|
28 |
27 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
30 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$990.80 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
71 |
69 |
$971.69 |
| 0081A |
|
19 |
19 |
$696.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
155 |
136 |
$444.65 |
| 90620 |
|
775 |
768 |
$217.41 |
| 92551 |
|
44 |
44 |
$68.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
326 |
311 |
$44.52 |
| 90688 |
|
2,867 |
2,848 |
$38.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$14.66 |
| 81002 |
|
12 |
12 |
$12.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$0.26 |
| 90686 |
|
714 |
712 |
$0.04 |
| 90715 |
|
149 |
145 |
$0.01 |
| 90672 |
|
35 |
35 |
$0.01 |
| 90633 |
|
887 |
882 |
$0.00 |
| 90648 |
|
917 |
905 |
$0.00 |
| 90707 |
|
753 |
749 |
$0.00 |
| 90670 |
|
1,043 |
1,026 |
$0.00 |
| 91300 |
|
314 |
274 |
$0.00 |
| 90734 |
|
371 |
364 |
$0.00 |
| 90671 |
|
667 |
658 |
$0.00 |
| 99173 |
|
125 |
125 |
$0.00 |
| 90700 |
|
92 |
92 |
$0.00 |
| 90681 |
|
34 |
34 |
$0.00 |
| 90651 |
|
870 |
862 |
$0.00 |
| 90697 |
|
660 |
647 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
823 |
816 |
$0.00 |
| 96127 |
|
147 |
147 |
$0.00 |
| 91315 |
|
37 |
36 |
$0.00 |
| 90680 |
|
866 |
846 |
$0.00 |
| 90716 |
|
772 |
768 |
$0.00 |
| 90723 |
|
487 |
476 |
$0.00 |
| 91307 |
|
364 |
341 |
$0.00 |
| 90696 |
|
79 |
79 |
$0.00 |