| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,760 |
6,301 |
$603K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,118 |
7,618 |
$529K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,121 |
3,117 |
$255K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,138 |
3,091 |
$228K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,074 |
2,071 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,360 |
6,333 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
911 |
910 |
$82K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
709 |
666 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,055 |
1,015 |
$15K |
| 99381 |
|
120 |
120 |
$11K |
| 83655 |
|
1,032 |
1,029 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
994 |
985 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,247 |
1,237 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
256 |
240 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
95 |
95 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
657 |
655 |
$8K |
| 81002 |
|
2,206 |
2,169 |
$6K |
| 99460 |
|
81 |
81 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
84 |
84 |
$3K |
| 99383 |
|
29 |
29 |
$3K |
| 0071A |
|
73 |
73 |
$3K |
| 90480 |
|
67 |
67 |
$3K |
| 0072A |
|
58 |
58 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
47 |
$2K |
| 97802 |
|
3,950 |
3,947 |
$2K |
| 85018 |
|
927 |
926 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
64 |
63 |
$2K |
| 36416 |
|
1,140 |
1,130 |
$2K |
| 96127 |
|
381 |
364 |
$1K |
| 0002A |
|
21 |
21 |
$822.28 |
| 87634 |
|
14 |
14 |
$715.02 |
| 99000 |
|
139 |
136 |
$666.18 |
| 0001A |
|
16 |
16 |
$607.40 |
| 92551 |
|
67 |
67 |
$497.41 |
| 0074A |
|
12 |
12 |
$480.37 |
| 99462 |
|
12 |
12 |
$338.23 |
| 96380 |
|
12 |
12 |
$256.93 |
| 90671 |
|
517 |
513 |
$247.04 |
| 90651 |
|
161 |
161 |
$240.81 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$160.09 |
| 90686 |
|
469 |
469 |
$45.83 |
| 90656 |
|
103 |
103 |
$22.35 |
| 90688 |
|
463 |
463 |
$21.10 |
| 90687 |
|
115 |
115 |
$0.02 |
| 90680 |
|
1,203 |
1,199 |
$0.00 |
| 90697 |
|
377 |
373 |
$0.00 |
| 90698 |
|
1,255 |
1,254 |
$0.00 |
| 90744 |
|
701 |
701 |
$0.00 |
| 90696 |
|
140 |
140 |
$0.00 |
| 90619 |
|
190 |
190 |
$0.00 |
| 94760 |
|
170 |
167 |
$0.00 |
| 90716 |
|
52 |
52 |
$0.00 |
| 91307 |
|
141 |
132 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.00 |
| 90461 |
|
3,328 |
3,320 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90710 |
|
177 |
176 |
$0.00 |
| 90633 |
|
993 |
992 |
$0.00 |
| 90715 |
|
98 |
98 |
$0.00 |
| 90670 |
|
1,438 |
1,438 |
$0.00 |
| 90707 |
|
77 |
76 |
$0.00 |
| 99173 |
|
56 |
56 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
780 |
711 |
$0.00 |
| 90734 |
|
65 |
65 |
$0.00 |
| 91300 |
|
21 |
21 |
$0.00 |