| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,775 |
20,356 |
$1.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,023 |
22,941 |
$1.51M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,892 |
10,650 |
$866K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,660 |
8,404 |
$677K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,846 |
7,361 |
$571K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,488 |
5,282 |
$462K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,408 |
11,883 |
$161K |
| 90670 |
|
5,775 |
5,595 |
$146K |
| 92551 |
|
14,339 |
13,792 |
$138K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,024 |
2,925 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,861 |
2,695 |
$102K |
| 90651 |
|
2,356 |
2,285 |
$97K |
| 90686 |
|
7,879 |
7,684 |
$95K |
| 90677 |
|
748 |
673 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,706 |
3,584 |
$87K |
| 96127 |
|
17,957 |
15,171 |
$85K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,667 |
2,573 |
$81K |
| 90723 |
|
3,534 |
3,354 |
$64K |
| 90648 |
|
5,464 |
5,235 |
$59K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,660 |
6,395 |
$52K |
| 99177 |
|
12,741 |
12,483 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,840 |
5,725 |
$49K |
| 90633 |
|
3,255 |
3,193 |
$43K |
| 90734 |
|
1,501 |
1,443 |
$42K |
| 90681 |
|
1,775 |
1,689 |
$37K |
| 99188 |
|
1,719 |
1,689 |
$35K |
| 99381 |
|
438 |
390 |
$30K |
| 90620 |
|
652 |
632 |
$30K |
| 90710 |
|
477 |
471 |
$19K |
| 0071A |
|
355 |
345 |
$14K |
| 90716 |
|
422 |
415 |
$11K |
| 83655 |
|
943 |
920 |
$11K |
| 0072A |
|
272 |
265 |
$11K |
| 81002 |
|
2,914 |
2,729 |
$8K |
| 0001A |
|
193 |
192 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,275 |
1,206 |
$7K |
| 96161 |
|
3,209 |
2,961 |
$7K |
| 90707 |
|
421 |
415 |
$7K |
| 99173 |
|
2,773 |
2,646 |
$7K |
| 0002A |
|
163 |
162 |
$6K |
| 90685 |
|
501 |
481 |
$6K |
| 90661 |
|
453 |
441 |
$5K |
| 90696 |
|
289 |
274 |
$5K |
| 99000 |
|
2,948 |
2,881 |
$5K |
| 0003A |
|
126 |
118 |
$5K |
| 90672 |
|
283 |
274 |
$4K |
| 90715 |
|
268 |
254 |
$4K |
| 90700 |
|
287 |
282 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
191 |
190 |
$3K |
| 96160 |
|
1,411 |
1,358 |
$2K |
| 90698 |
|
150 |
147 |
$2K |
| 0124A |
|
57 |
55 |
$2K |
| 90381 |
|
24 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99401 |
|
126 |
117 |
$2K |
| 36416 |
|
2,548 |
2,489 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 0073A |
|
33 |
28 |
$1K |
| 90680 |
|
74 |
62 |
$932.15 |
| 17250 |
|
13 |
12 |
$804.12 |
| 83718 |
|
94 |
85 |
$716.22 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
54 |
49 |
$515.52 |
| 90480 |
|
19 |
17 |
$494.00 |
| 96380 |
|
41 |
32 |
$478.31 |
| 82465 |
|
94 |
85 |
$391.62 |
| 87807 |
|
30 |
27 |
$351.14 |
| 90461 |
|
308 |
280 |
$288.54 |
| H0033 |
Oral medication administration, direct observation |
189 |
186 |
$216.20 |
| 90660 |
|
12 |
12 |
$201.07 |
| 94760 |
|
59 |
50 |
$51.80 |
| 99072 |
|
314 |
302 |
$32.70 |
| 91307 |
|
723 |
666 |
$6.32 |
| 91300 |
|
367 |
336 |
$3.25 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
41 |
39 |
$1.46 |
| 91308 |
|
33 |
30 |
$0.24 |
| 91312 |
|
28 |
28 |
$0.21 |