| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,611 |
12,144 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,744 |
13,394 |
$1.06M |
| 99199 |
Unlisted special service, procedure or report |
86,226 |
51,448 |
$500K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,508 |
3,066 |
$323K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,087 |
2,779 |
$286K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,281 |
4,405 |
$194K |
| 86003 |
|
971 |
877 |
$172K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,664 |
1,448 |
$169K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,156 |
5,317 |
$160K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,913 |
6,126 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,312 |
1,170 |
$124K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,542 |
3,193 |
$109K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,840 |
5,967 |
$91K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,139 |
1,928 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,924 |
5,328 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,572 |
1,376 |
$58K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
907 |
666 |
$40K |
| D1206 |
Topical application of fluoride varnish |
2,137 |
1,929 |
$30K |
| 69210 |
|
738 |
674 |
$24K |
| 96127 |
|
5,090 |
4,433 |
$22K |
| 87807 |
|
1,646 |
1,352 |
$22K |
| 81003 |
|
9,229 |
7,868 |
$15K |
| 90474 |
|
480 |
433 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,576 |
2,244 |
$6K |
| 83655 |
|
400 |
373 |
$5K |
| 90651 |
|
290 |
256 |
$5K |
| 0071A |
|
79 |
69 |
$5K |
| 85018 |
|
2,338 |
2,041 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
34 |
$3K |
| 92551 |
|
7,183 |
6,332 |
$3K |
| 0072A |
|
42 |
36 |
$3K |
| 90670 |
|
1,097 |
992 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
154 |
128 |
$2K |
| 99173 |
|
7,826 |
6,912 |
$1K |
| 99441 |
|
69 |
36 |
$1K |
| 90686 |
|
921 |
816 |
$995.60 |
| 99383 |
|
15 |
14 |
$935.68 |
| 90734 |
|
91 |
76 |
$809.45 |
| 99442 |
|
20 |
13 |
$730.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
26 |
$545.49 |
| 97802 |
|
83 |
78 |
$499.17 |
| G9919 |
Screening performed and positive and provision of recommendations |
28 |
16 |
$438.20 |
| 90620 |
|
74 |
63 |
$386.10 |
| 90723 |
|
550 |
494 |
$363.68 |
| 94664 |
|
28 |
27 |
$311.98 |
| 90649 |
|
55 |
39 |
$268.74 |
| 90633 |
|
509 |
458 |
$178.98 |
| 90715 |
|
80 |
71 |
$86.76 |
| 90688 |
|
33 |
29 |
$70.04 |
| 90656 |
|
348 |
319 |
$49.74 |
| 90647 |
|
799 |
710 |
$29.84 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.81 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90655 |
|
56 |
56 |
$0.00 |
| 90710 |
|
30 |
30 |
$0.00 |
| 90658 |
|
106 |
102 |
$0.00 |
| 91307 |
|
139 |
115 |
$0.00 |
| 90680 |
|
516 |
458 |
$0.00 |
| 90696 |
|
29 |
29 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |
| 99000 |
|
178 |
144 |
$0.00 |
| 90619 |
|
80 |
75 |
$0.00 |
| 36416 |
|
33 |
29 |
$0.00 |