| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,182 |
43,563 |
$3.20M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,097 |
18,665 |
$797K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,871 |
9,825 |
$768K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,537 |
9,498 |
$762K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,770 |
7,726 |
$666K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,822 |
7,305 |
$562K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,308 |
14,192 |
$301K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27,032 |
26,655 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,135 |
2,105 |
$232K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,110 |
15,428 |
$218K |
| 99381 |
|
1,684 |
1,673 |
$151K |
| 99442 |
|
1,859 |
1,809 |
$148K |
| 92587 |
|
8,067 |
7,957 |
$101K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,890 |
3,508 |
$98K |
| 17110 |
|
1,324 |
1,132 |
$89K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,455 |
1,432 |
$49K |
| 85018 |
|
18,002 |
17,904 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,134 |
1,120 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,548 |
2,513 |
$29K |
| 90474 |
|
3,819 |
3,801 |
$26K |
| 36415 |
Collection of venous blood by venipuncture |
10,185 |
10,036 |
$19K |
| 96127 |
|
3,420 |
3,388 |
$19K |
| 99177 |
|
6,769 |
6,734 |
$13K |
| 99383 |
|
136 |
135 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
866 |
828 |
$8K |
| 87807 |
|
462 |
456 |
$5K |
| 99384 |
|
41 |
41 |
$4K |
| 86328 |
|
93 |
92 |
$3K |
| 96160 |
|
1,570 |
1,563 |
$3K |
| 99382 |
|
24 |
24 |
$2K |
| 81003 |
|
1,143 |
1,115 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 90621 |
|
1,916 |
1,903 |
$1K |
| 99441 |
|
24 |
24 |
$1K |
| 90671 |
|
1,166 |
1,159 |
$999.80 |
| 90651 |
|
3,570 |
3,541 |
$972.42 |
| 99401 |
|
73 |
73 |
$622.30 |
| 90619 |
|
1,553 |
1,541 |
$172.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$158.57 |
| 90716 |
|
3,765 |
3,736 |
$149.89 |
| 90688 |
|
7,265 |
7,217 |
$133.02 |
| 99000 |
|
191 |
190 |
$89.25 |
| 86580 |
|
14 |
14 |
$67.52 |
| 81002 |
|
56 |
54 |
$63.14 |
| 90685 |
|
606 |
599 |
$43.62 |
| 90715 |
|
2,083 |
2,070 |
$30.95 |
| 90686 |
|
1,960 |
1,947 |
$19.03 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
54 |
49 |
$10.35 |
| 90633 |
|
3,953 |
3,925 |
$0.00 |
| 90670 |
|
4,911 |
4,883 |
$0.00 |
| 90648 |
|
1,491 |
1,484 |
$0.00 |
| 90734 |
|
1,915 |
1,899 |
$0.00 |
| 83655 |
|
287 |
285 |
$0.00 |
| 90713 |
|
2,529 |
2,510 |
$0.00 |
| 90687 |
|
342 |
337 |
$0.00 |
| 90707 |
|
3,705 |
3,681 |
$0.00 |
| 90700 |
|
3,588 |
3,569 |
$0.00 |
| 90714 |
|
27 |
26 |
$0.00 |
| 90658 |
|
204 |
203 |
$0.00 |
| G9920 |
Screening performed and negative |
71 |
69 |
$0.00 |
| 90697 |
|
1,594 |
1,592 |
$0.00 |
| 90680 |
|
3,896 |
3,874 |
$0.00 |
| 90744 |
|
2,263 |
2,242 |
$0.00 |
| 90698 |
|
2,764 |
2,743 |
$0.00 |
| 90656 |
|
357 |
354 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
20 |
18 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |