| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,533 |
47,234 |
$2.90M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49,347 |
47,345 |
$2.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,999 |
28,394 |
$2.58M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19,896 |
17,947 |
$1.63M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,198 |
17,715 |
$1.59M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
11,925 |
11,604 |
$1.04M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,028 |
4,890 |
$481K |
| 99058 |
|
24,551 |
23,115 |
$424K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,948 |
3,707 |
$296K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,058 |
4,882 |
$95K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,611 |
7,337 |
$62K |
| 90461 |
|
2,951 |
2,885 |
$61K |
| 99383 |
|
629 |
599 |
$56K |
| 94010 |
|
1,752 |
1,703 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,520 |
1,436 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,644 |
6,484 |
$42K |
| 83655 |
|
5,226 |
5,091 |
$41K |
| 92567 |
|
3,406 |
3,114 |
$37K |
| 36416 |
|
12,518 |
12,026 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
692 |
669 |
$31K |
| 99460 |
|
374 |
352 |
$30K |
| 96127 |
|
5,993 |
5,771 |
$26K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
379 |
354 |
$23K |
| 99384 |
|
189 |
181 |
$19K |
| 99381 |
|
203 |
181 |
$17K |
| 99382 |
|
149 |
145 |
$13K |
| 92587 |
|
33,881 |
32,936 |
$12K |
| 85018 |
|
8,008 |
7,767 |
$12K |
| 93000 |
|
828 |
799 |
$12K |
| 99188 |
|
909 |
888 |
$11K |
| 92015 |
Determination of refractive state |
28,245 |
27,429 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
54 |
$5K |
| 0012A |
|
154 |
135 |
$3K |
| 87807 |
|
292 |
281 |
$2K |
| 0011A |
|
159 |
137 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99463 |
|
14 |
13 |
$1K |
| 94667 |
|
34 |
27 |
$616.14 |
| 69210 |
|
27 |
26 |
$428.72 |
| 81002 |
|
153 |
148 |
$283.85 |
| 90671 |
|
4,044 |
3,759 |
$221.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$196.68 |
| 99177 |
|
1,248 |
1,230 |
$188.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$154.14 |
| 90670 |
|
9,666 |
9,467 |
$96.14 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
34 |
27 |
$49.90 |
| A7015 |
Aerosol mask, used with dme nebulizer |
47 |
39 |
$46.48 |
| 90686 |
|
16,653 |
15,934 |
$33.52 |
| 90713 |
|
14,271 |
13,724 |
$22.26 |
| 90707 |
|
5,663 |
5,447 |
$19.27 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
47 |
39 |
$9.08 |
| 94760 |
|
21 |
15 |
$5.80 |
| 90685 |
|
1,645 |
1,606 |
$1.70 |
| 90680 |
|
8,214 |
7,924 |
$1.04 |
| 90651 |
|
2,533 |
2,433 |
$1.04 |
| 90744 |
|
6,785 |
6,546 |
$0.00 |
| 90716 |
|
5,695 |
5,484 |
$0.00 |
| 90619 |
|
626 |
589 |
$0.00 |
| 91301 |
|
285 |
242 |
$0.00 |
| 90656 |
|
867 |
860 |
$0.00 |
| 99000 |
|
61 |
60 |
$0.00 |
| 90648 |
|
13,751 |
13,277 |
$0.00 |
| 90700 |
|
17,644 |
16,986 |
$0.00 |
| 90633 |
|
6,537 |
6,327 |
$0.00 |
| 90734 |
|
859 |
835 |
$0.00 |
| 90715 |
|
489 |
471 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |