| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,544 |
24,537 |
$2.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,418 |
7,449 |
$860K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,043 |
4,696 |
$602K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,384 |
5,035 |
$572K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,550 |
10,701 |
$490K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,148 |
3,901 |
$459K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,051 |
3,640 |
$419K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,832 |
9,120 |
$406K |
| 96127 |
|
11,013 |
9,953 |
$237K |
| 99177 |
|
11,318 |
10,703 |
$211K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,087 |
6,759 |
$174K |
| 92552 |
|
13,550 |
12,588 |
$150K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,669 |
7,168 |
$143K |
| 99188 |
|
5,913 |
5,644 |
$114K |
| 99174 |
|
4,296 |
4,194 |
$83K |
| 96161 |
|
3,935 |
3,129 |
$66K |
| 99051 |
|
9,116 |
8,152 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
395 |
347 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,248 |
1,603 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
756 |
702 |
$36K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,253 |
2,938 |
$32K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,429 |
1,294 |
$32K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
386 |
354 |
$28K |
| D1206 |
Topical application of fluoride varnish |
1,258 |
1,125 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,683 |
1,617 |
$18K |
| 99401 |
|
481 |
465 |
$17K |
| 99381 |
|
154 |
144 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
396 |
374 |
$12K |
| 0072A |
|
205 |
203 |
$8K |
| 0071A |
|
203 |
202 |
$8K |
| 99443 |
|
130 |
116 |
$7K |
| 99173 |
|
1,407 |
1,215 |
$7K |
| 87634 |
|
74 |
69 |
$5K |
| 90677 |
|
519 |
485 |
$3K |
| 87807 |
|
231 |
225 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
28 |
$2K |
| 0003A |
|
44 |
44 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
91 |
84 |
$753.28 |
| 0001A |
|
18 |
18 |
$720.00 |
| 99442 |
|
15 |
15 |
$643.95 |
| 0002A |
|
15 |
15 |
$600.00 |
| 94760 |
|
17 |
14 |
$28.22 |
| 90686 |
|
9,993 |
9,664 |
$0.01 |
| 90633 |
|
1,232 |
1,161 |
$0.00 |
| 90670 |
|
2,288 |
2,175 |
$0.00 |
| 90715 |
|
311 |
304 |
$0.00 |
| 90707 |
|
174 |
160 |
$0.00 |
| 90734 |
|
1,284 |
1,226 |
$0.00 |
| 90648 |
|
155 |
152 |
$0.00 |
| 90681 |
|
870 |
841 |
$0.00 |
| 90461 |
|
66 |
66 |
$0.00 |
| 99072 |
|
103 |
102 |
$0.00 |
| 90710 |
|
257 |
249 |
$0.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
41 |
40 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 91300 |
|
115 |
102 |
$0.00 |
| 90697 |
|
899 |
855 |
$0.00 |
| 90620 |
|
732 |
686 |
$0.00 |
| 90651 |
|
1,585 |
1,495 |
$0.00 |
| 90723 |
|
147 |
144 |
$0.00 |
| 90698 |
|
885 |
860 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
41 |
40 |
$0.00 |
| 90716 |
|
242 |
227 |
$0.00 |
| 90696 |
|
265 |
255 |
$0.00 |
| 91307 |
|
474 |
422 |
$0.00 |
| 90744 |
|
243 |
239 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |