| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,842 |
24,448 |
$1.56M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,594 |
2,905 |
$274K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,341 |
2,961 |
$252K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,855 |
2,493 |
$237K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,686 |
2,346 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,330 |
1,239 |
$111K |
| 92551 |
|
6,914 |
6,212 |
$105K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
298 |
177 |
$97K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,837 |
5,341 |
$91K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,820 |
2,631 |
$88K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,788 |
1,676 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,641 |
3,092 |
$58K |
| 90670 |
|
1,973 |
1,631 |
$44K |
| 92567 |
|
2,881 |
2,596 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,263 |
2,902 |
$40K |
| 83655 |
|
3,259 |
2,696 |
$39K |
| 96127 |
|
2,619 |
2,458 |
$38K |
| D1206 |
Topical application of fluoride varnish |
1,439 |
1,188 |
$37K |
| 99173 |
|
4,974 |
4,486 |
$37K |
| 90651 |
|
817 |
689 |
$36K |
| 90686 |
|
2,783 |
2,454 |
$31K |
| 87081 |
|
4,059 |
3,677 |
$24K |
| 85018 |
|
9,312 |
8,226 |
$22K |
| 90633 |
|
1,690 |
1,395 |
$21K |
| 36416 |
|
4,829 |
4,373 |
$20K |
| 90677 |
|
498 |
433 |
$19K |
| 81003 |
|
7,970 |
6,997 |
$17K |
| 90744 |
|
1,439 |
1,258 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
4,239 |
3,523 |
$17K |
| 90680 |
|
1,251 |
1,050 |
$17K |
| 90734 |
|
669 |
519 |
$14K |
| 90698 |
|
865 |
726 |
$14K |
| 90700 |
|
1,164 |
978 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
827 |
745 |
$14K |
| 80053 |
Comprehensive metabolic panel |
1,055 |
926 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
419 |
408 |
$10K |
| 90648 |
|
889 |
755 |
$10K |
| 84439 |
|
1,021 |
888 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
624 |
389 |
$9K |
| 80050 |
General health panel |
149 |
128 |
$7K |
| 99381 |
|
78 |
77 |
$7K |
| 90619 |
|
406 |
384 |
$7K |
| 90716 |
|
291 |
240 |
$6K |
| 90715 |
|
496 |
405 |
$6K |
| 90710 |
|
404 |
328 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,021 |
899 |
$6K |
| 99000 |
|
232 |
216 |
$5K |
| 90696 |
|
349 |
284 |
$5K |
| 90713 |
|
277 |
236 |
$3K |
| 87428 |
|
34 |
34 |
$2K |
| 90685 |
|
187 |
159 |
$2K |
| 90707 |
|
112 |
92 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
169 |
128 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| A7015 |
Aerosol mask, used with dme nebulizer |
431 |
272 |
$787.41 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
374 |
214 |
$380.13 |
| 87209 |
|
25 |
25 |
$376.50 |
| 90621 |
|
13 |
12 |
$369.78 |
| 94760 |
|
290 |
229 |
$312.60 |
| 87427 |
|
25 |
25 |
$312.50 |
| 87045 |
|
25 |
25 |
$307.50 |
| 87449 |
|
13 |
13 |
$203.84 |
| 85652 |
|
78 |
65 |
$201.74 |
| 87177 |
|
25 |
25 |
$180.00 |
| 99051 |
|
70 |
66 |
$160.00 |
| 84436 |
|
13 |
13 |
$87.36 |
| 99072 |
|
141 |
126 |
$63.75 |
| 86140 |
|
13 |
12 |
$61.10 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
416 |
230 |
$51.96 |
| 87046 |
|
12 |
12 |
$28.80 |
| 1003F |
|
1,189 |
777 |
$0.75 |
| 1036F |
|
462 |
279 |
$0.00 |
| 1040F |
|
359 |
187 |
$0.00 |