| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,665 |
26,906 |
$2.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,461 |
33,694 |
$1.89M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,111 |
20,354 |
$734K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,424 |
7,318 |
$580K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,526 |
6,404 |
$550K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,694 |
5,592 |
$453K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,787 |
4,655 |
$363K |
| 90461 |
|
4,765 |
4,532 |
$250K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,193 |
7,964 |
$115K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,001 |
1,572 |
$93K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,907 |
2,817 |
$84K |
| 97802 |
|
4,597 |
4,336 |
$78K |
| 92551 |
|
9,456 |
9,149 |
$70K |
| 96160 |
|
21,327 |
20,673 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,319 |
2,263 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
473 |
455 |
$32K |
| 99381 |
|
310 |
306 |
$27K |
| 90671 |
|
654 |
568 |
$24K |
| 99215 |
Prolong outpt/office vis |
219 |
211 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
922 |
908 |
$22K |
| 0002A |
|
308 |
257 |
$16K |
| 99173 |
|
9,097 |
8,754 |
$16K |
| 99383 |
|
166 |
160 |
$15K |
| 95144 |
|
137 |
25 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,057 |
1,014 |
$14K |
| 0071A |
|
183 |
177 |
$13K |
| 0001A |
|
313 |
263 |
$13K |
| 95117 |
|
1,419 |
392 |
$12K |
| 0072A |
|
147 |
145 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
95 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
105 |
$8K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
88 |
12 |
$8K |
| 96127 |
|
1,082 |
1,056 |
$4K |
| 99384 |
|
41 |
39 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
13 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
213 |
207 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
55 |
54 |
$2K |
| 99484 |
|
86 |
74 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| 0004A |
|
27 |
27 |
$2K |
| 99000 |
|
1,754 |
1,374 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
555 |
529 |
$1K |
| 94760 |
|
1,048 |
959 |
$1K |
| 92567 |
|
42 |
42 |
$545.92 |
| 81002 |
|
196 |
184 |
$516.86 |
| 90670 |
|
2,421 |
2,172 |
$257.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$195.42 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
74 |
71 |
$139.19 |
| 86769 |
|
19 |
14 |
$121.32 |
| 0011A |
|
27 |
13 |
$120.00 |
| 99051 |
|
127 |
116 |
$96.12 |
| 99401 |
|
125 |
113 |
$63.69 |
| A7015 |
Aerosol mask, used with dme nebulizer |
99 |
78 |
$54.28 |
| 90686 |
|
4,003 |
3,417 |
$43.54 |
| 94761 |
|
16 |
16 |
$19.00 |
| 90633 |
|
928 |
847 |
$17.98 |
| 99001 |
|
36 |
35 |
$16.06 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
186 |
181 |
$6.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$5.92 |
| 91300 |
|
268 |
136 |
$0.14 |
| 90710 |
|
51 |
51 |
$0.00 |
| 90621 |
|
411 |
353 |
$0.00 |
| 90715 |
|
173 |
145 |
$0.00 |
| 90734 |
|
595 |
514 |
$0.00 |
| 90681 |
|
28 |
28 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
394 |
237 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
14 |
$0.00 |
| 90649 |
|
27 |
26 |
$0.00 |
| 99421 |
|
62 |
55 |
$0.00 |
| 90661 |
|
31 |
30 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
37 |
37 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
55 |
41 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90698 |
|
1,014 |
875 |
$0.00 |
| 90651 |
|
1,175 |
1,004 |
$0.00 |
| 90619 |
|
305 |
246 |
$0.00 |
| 90620 |
|
439 |
391 |
$0.00 |
| 90716 |
|
15 |
12 |
$0.00 |
| 3008F |
|
365 |
336 |
$0.00 |
| 90744 |
|
344 |
282 |
$0.00 |
| 90697 |
|
89 |
77 |
$0.00 |
| 90680 |
|
905 |
780 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
25 |
$0.00 |