| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,675 |
30,040 |
$1.11M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
21,963 |
21,174 |
$900K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,514 |
10,382 |
$854K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,910 |
16,262 |
$836K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,654 |
8,961 |
$803K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,347 |
8,049 |
$616K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,173 |
4,023 |
$305K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,477 |
7,931 |
$214K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,998 |
17,379 |
$197K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20,658 |
9,879 |
$188K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,164 |
7,905 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,719 |
4,524 |
$111K |
| 99429 |
|
2,978 |
2,868 |
$94K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,002 |
8,266 |
$82K |
| 99000 |
|
8,768 |
8,453 |
$82K |
| 99381 |
|
429 |
425 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
355 |
333 |
$27K |
| 0071A |
|
535 |
524 |
$22K |
| 0072A |
|
476 |
463 |
$19K |
| 90474 |
|
2,047 |
1,973 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,881 |
2,706 |
$18K |
| 96160 |
|
9,922 |
9,157 |
$16K |
| 0001A |
|
411 |
403 |
$16K |
| 0002A |
|
339 |
339 |
$14K |
| 97169 |
|
383 |
358 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
130 |
$8K |
| 99051 |
|
2,140 |
2,076 |
$7K |
| 81002 |
|
1,751 |
1,596 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
351 |
312 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
882 |
520 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
74 |
$3K |
| 99383 |
|
33 |
33 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
245 |
239 |
$3K |
| 99050 |
|
145 |
123 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
168 |
$1K |
| 90734 |
|
1,105 |
1,026 |
$105.89 |
| 94760 |
|
132 |
131 |
$99.93 |
| 90461 |
|
73 |
54 |
$19.14 |
| 90619 |
|
1,603 |
1,550 |
$10.33 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
180 |
177 |
$7.54 |
| A7015 |
Aerosol mask, used with dme nebulizer |
180 |
177 |
$3.26 |
| 90620 |
|
2,048 |
1,933 |
$0.01 |
| 90707 |
|
559 |
522 |
$0.00 |
| 90648 |
|
2,922 |
2,795 |
$0.00 |
| 90670 |
|
2,597 |
2,491 |
$0.00 |
| 90700 |
|
549 |
516 |
$0.00 |
| 90633 |
|
1,926 |
1,838 |
$0.00 |
| 90715 |
|
1,175 |
1,138 |
$0.00 |
| 90710 |
|
884 |
845 |
$0.00 |
| 91300 |
|
728 |
682 |
$0.00 |
| G9434 |
Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given |
16 |
16 |
$0.00 |
| 36416 |
|
2,779 |
2,705 |
$0.00 |
| 90716 |
|
563 |
534 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
33,833 |
31,873 |
$0.00 |
| 90677 |
|
1,316 |
1,276 |
$0.00 |
| 90680 |
|
2,187 |
2,110 |
$0.00 |
| 91307 |
|
1,140 |
1,014 |
$0.00 |
| 90723 |
|
2,503 |
2,423 |
$0.00 |
| 90686 |
|
4,613 |
4,461 |
$0.00 |
| 90651 |
|
2,792 |
2,647 |
$0.00 |
| 90696 |
|
887 |
847 |
$0.00 |
| 90656 |
|
541 |
540 |
$0.00 |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
267 |
266 |
$0.00 |
| 90647 |
|
152 |
150 |
$0.00 |