| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,580 |
6,204 |
$287K |
| 99215 |
Prolong outpt/office vis |
3,891 |
3,686 |
$267K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,038 |
11,411 |
$251K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,422 |
3,336 |
$243K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,474 |
3,290 |
$223K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,616 |
2,556 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,196 |
5,789 |
$191K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,713 |
9,054 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,090 |
1,889 |
$132K |
| 30210 |
|
1,258 |
1,185 |
$129K |
| 99429 |
|
3,236 |
3,042 |
$88K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,661 |
2,430 |
$85K |
| 96112 |
|
652 |
647 |
$67K |
| 90619 |
|
443 |
428 |
$49K |
| 99050 |
|
3,828 |
3,520 |
$48K |
| 90677 |
|
308 |
298 |
$47K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,167 |
1,105 |
$41K |
| 92567 |
|
3,546 |
3,380 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,183 |
3,802 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,721 |
1,302 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,979 |
1,891 |
$22K |
| 90461 |
|
4,516 |
3,403 |
$18K |
| 99381 |
|
253 |
236 |
$16K |
| 99383 |
|
190 |
180 |
$13K |
| 69200 |
|
156 |
155 |
$9K |
| 69210 |
|
280 |
269 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
925 |
917 |
$8K |
| 90671 |
|
301 |
296 |
$7K |
| 99382 |
|
104 |
86 |
$7K |
| 17110 |
|
74 |
69 |
$5K |
| 96160 |
|
2,914 |
2,827 |
$5K |
| 93000 |
|
404 |
398 |
$4K |
| 91322 |
|
28 |
28 |
$3K |
| 99384 |
|
27 |
27 |
$3K |
| 81003 |
|
1,311 |
1,230 |
$2K |
| 83655 |
|
242 |
232 |
$2K |
| 94060 |
|
72 |
65 |
$2K |
| 90480 |
|
74 |
72 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
96 |
74 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
243 |
216 |
$904.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
13 |
$253.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$194.48 |
| 90734 |
|
592 |
574 |
$150.17 |
| 90620 |
|
416 |
404 |
$150.03 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$133.28 |
| 90697 |
|
381 |
368 |
$105.17 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
72 |
61 |
$39.49 |
| 90686 |
|
4,476 |
4,376 |
$36.97 |
| 90680 |
|
1,232 |
1,154 |
$33.81 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
89 |
75 |
$11.94 |
| 97802 |
|
45 |
42 |
$10.00 |
| 90670 |
|
1,439 |
1,328 |
$0.67 |
| 90648 |
|
516 |
464 |
$0.35 |
| 90723 |
|
684 |
634 |
$0.30 |
| 90651 |
|
1,184 |
1,149 |
$0.13 |
| 90633 |
|
1,235 |
1,160 |
$0.11 |
| 90710 |
|
1,187 |
1,125 |
$0.10 |
| 90744 |
|
19 |
12 |
$0.08 |
| 90715 |
|
409 |
390 |
$0.07 |
| 90696 |
|
377 |
361 |
$0.00 |
| 90647 |
|
474 |
459 |
$0.00 |
| 90698 |
|
415 |
375 |
$0.00 |
| 90656 |
|
275 |
265 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
19 |
19 |
$0.00 |
| 90688 |
|
15 |
13 |
$0.00 |
| 90685 |
|
1,101 |
1,057 |
$0.00 |
| 90700 |
|
185 |
176 |
$0.00 |
| 91321 |
|
43 |
43 |
$0.00 |
| 90621 |
|
27 |
27 |
$0.00 |