| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49,751 |
40,105 |
$2.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80,812 |
59,212 |
$2.20M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26,383 |
19,871 |
$1.89M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21,735 |
16,236 |
$1.69M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,666 |
11,291 |
$921K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
6,615 |
4,453 |
$352K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50,522 |
38,616 |
$279K |
| 99051 |
|
22,856 |
17,007 |
$57K |
| 90670 |
|
13,477 |
9,967 |
$57K |
| 90686 |
|
13,578 |
11,899 |
$39K |
| 90461 |
|
30,884 |
22,037 |
$25K |
| 99383 |
|
234 |
222 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,380 |
3,286 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
348 |
322 |
$15K |
| 99460 |
|
319 |
241 |
$13K |
| 83655 |
|
7,439 |
5,727 |
$11K |
| 3008F |
|
40,287 |
35,626 |
$10K |
| 99188 |
|
2,966 |
2,184 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
215 |
$10K |
| 99381 |
|
202 |
137 |
$9K |
| 90716 |
|
5,522 |
3,939 |
$9K |
| 99382 |
|
108 |
91 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
185 |
150 |
$8K |
| 85018 |
|
17,290 |
12,956 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
512 |
488 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
168 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
705 |
406 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,616 |
2,145 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
9,188 |
6,638 |
$4K |
| 1160F |
|
54,499 |
47,548 |
$4K |
| 90633 |
|
6,389 |
4,810 |
$4K |
| 2001F |
|
63,316 |
53,593 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
538 |
375 |
$4K |
| 90707 |
|
5,299 |
3,781 |
$4K |
| 90648 |
|
12,699 |
9,316 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,866 |
9,372 |
$3K |
| 90651 |
|
1,814 |
1,233 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 90723 |
|
8,305 |
6,020 |
$2K |
| 3074F |
|
28,267 |
24,925 |
$2K |
| 3078F |
|
27,335 |
24,109 |
$2K |
| 96127 |
|
9,890 |
6,498 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
650 |
506 |
$2K |
| 92551 |
|
20,347 |
13,445 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
549 |
239 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
59 |
53 |
$1K |
| 90680 |
|
7,257 |
5,392 |
$933.13 |
| 90734 |
|
1,130 |
695 |
$847.74 |
| 99177 |
|
26,203 |
17,285 |
$803.21 |
| 90619 |
|
148 |
122 |
$600.00 |
| 90621 |
|
101 |
79 |
$363.45 |
| 90685 |
|
117 |
69 |
$322.13 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
167 |
141 |
$303.75 |
| 90677 |
|
160 |
157 |
$282.89 |
| 87081 |
|
678 |
501 |
$254.44 |
| 94010 |
|
44 |
35 |
$219.15 |
| 90696 |
|
398 |
218 |
$202.02 |
| 90700 |
|
606 |
370 |
$191.81 |
| 90715 |
|
254 |
115 |
$162.03 |
| 99441 |
|
20 |
14 |
$125.05 |
| 90697 |
|
568 |
486 |
$125.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
213 |
189 |
$112.52 |
| 90688 |
|
300 |
208 |
$96.92 |
| 81003 |
|
151 |
132 |
$95.64 |
| 81025 |
|
75 |
28 |
$70.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
151 |
137 |
$68.57 |
| 99050 |
|
56 |
54 |
$7.57 |
| 99000 |
|
1,027 |
736 |
$5.74 |
| A9150 |
Non-prescription drugs |
29 |
29 |
$0.01 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
14 |
13 |
$0.00 |
| 99173 |
|
20 |
15 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
54 |
53 |
$0.00 |
| 91307 |
|
35 |
30 |
$0.00 |
| 3079F |
|
53 |
49 |
$0.00 |