| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,511 |
11,660 |
$492K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,311 |
7,731 |
$456K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,558 |
3,529 |
$288K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,132 |
3,108 |
$267K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,924 |
2,906 |
$259K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,105 |
2,937 |
$249K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,743 |
7,152 |
$195K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,468 |
1,449 |
$66K |
| 99429 |
|
1,656 |
1,630 |
$58K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,957 |
4,915 |
$52K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,582 |
3,487 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,561 |
1,253 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
507 |
501 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
906 |
886 |
$23K |
| 99383 |
|
238 |
238 |
$23K |
| 90461 |
|
4,896 |
4,189 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,434 |
1,428 |
$17K |
| 99384 |
|
144 |
141 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
267 |
262 |
$13K |
| 99382 |
|
88 |
88 |
$8K |
| S8301 |
Infection control supplies, not otherwise specified |
2,521 |
2,378 |
$8K |
| 96160 |
|
3,271 |
3,250 |
$7K |
| 99463 |
|
65 |
62 |
$7K |
| 99381 |
|
80 |
78 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
381 |
375 |
$5K |
| 83655 |
|
243 |
242 |
$3K |
| 90671 |
|
924 |
915 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
22 |
$2K |
| 90480 |
|
62 |
62 |
$2K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
79 |
77 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
73 |
69 |
$1K |
| 99000 |
|
77 |
75 |
$893.20 |
| 97802 |
|
125 |
124 |
$888.00 |
| 90697 |
|
586 |
582 |
$714.00 |
| 96380 |
|
35 |
33 |
$660.98 |
| 90619 |
|
587 |
583 |
$587.78 |
| 90680 |
|
1,621 |
1,613 |
$349.01 |
| 81002 |
|
113 |
105 |
$341.71 |
| 90633 |
|
1,278 |
1,267 |
$287.60 |
| 90651 |
|
1,051 |
1,047 |
$185.23 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
29 |
29 |
$180.00 |
| 90656 |
|
501 |
498 |
$179.03 |
| 91322 |
|
29 |
29 |
$160.62 |
| 92551 |
|
56 |
55 |
$75.33 |
| 87420 |
|
44 |
44 |
$70.08 |
| 90686 |
|
2,826 |
2,813 |
$67.60 |
| 85018 |
|
49 |
49 |
$41.10 |
| 99001 |
|
42 |
42 |
$37.80 |
| 94760 |
|
252 |
228 |
$26.75 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
57 |
56 |
$3.16 |
| 90716 |
|
292 |
291 |
$0.02 |
| 90677 |
|
29 |
29 |
$0.02 |
| 90707 |
|
295 |
294 |
$0.02 |
| 90670 |
|
1,415 |
1,411 |
$0.01 |
| 90744 |
|
90 |
89 |
$0.00 |
| 36416 |
|
207 |
206 |
$0.00 |
| 90723 |
|
584 |
583 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90696 |
|
199 |
198 |
$0.00 |
| 90698 |
|
355 |
354 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |
| 90648 |
|
941 |
939 |
$0.00 |
| 90700 |
|
397 |
396 |
$0.00 |
| 90715 |
|
276 |
275 |
$0.00 |
| 90734 |
|
379 |
379 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |
| 90710 |
|
225 |
224 |
$0.00 |
| 99173 |
|
56 |
55 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |
| 91321 |
|
33 |
33 |
$0.00 |