| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90,600 |
67,915 |
$4.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,534 |
16,987 |
$1.15M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,866 |
25,114 |
$722K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,909 |
8,757 |
$571K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61,264 |
51,040 |
$448K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,249 |
7,123 |
$425K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,318 |
5,260 |
$338K |
| 87070 |
|
58,928 |
49,206 |
$240K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17,648 |
8,033 |
$222K |
| 69210 |
|
9,886 |
8,834 |
$198K |
| 99050 |
|
7,075 |
6,846 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,136 |
2,110 |
$146K |
| 90670 |
|
2,702 |
2,645 |
$113K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,051 |
2,922 |
$89K |
| 90686 |
|
8,153 |
8,014 |
$88K |
| 3008F |
|
8,813 |
8,736 |
$77K |
| 90677 |
|
442 |
441 |
$63K |
| 99381 |
|
876 |
836 |
$52K |
| 90716 |
|
1,202 |
1,164 |
$49K |
| 99188 |
|
1,989 |
1,940 |
$47K |
| 90707 |
|
1,194 |
1,160 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,046 |
2,016 |
$28K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,122 |
1,064 |
$24K |
| 17110 |
|
552 |
538 |
$22K |
| 90700 |
|
3,273 |
3,214 |
$22K |
| 83655 |
|
1,650 |
1,619 |
$22K |
| 90680 |
|
1,906 |
1,868 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
232 |
225 |
$18K |
| 51701 |
|
515 |
468 |
$18K |
| 90633 |
|
1,413 |
1,382 |
$17K |
| 36410 |
|
1,240 |
1,201 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,775 |
3,388 |
$15K |
| 90619 |
|
142 |
136 |
$13K |
| 90713 |
|
2,202 |
2,159 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,109 |
1,076 |
$10K |
| 90648 |
|
3,219 |
3,155 |
$9K |
| 90696 |
|
403 |
384 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,140 |
1,965 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
481 |
458 |
$8K |
| 85018 |
|
5,344 |
5,243 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
814 |
648 |
$7K |
| 90734 |
|
193 |
188 |
$6K |
| 90744 |
|
1,831 |
1,793 |
$5K |
| 90621 |
|
139 |
137 |
$4K |
| 90651 |
|
50 |
50 |
$4K |
| 81002 |
|
2,101 |
1,942 |
$3K |
| 90715 |
|
231 |
222 |
$3K |
| 90685 |
|
174 |
173 |
$3K |
| 10060 |
|
53 |
52 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 36400 |
|
114 |
101 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
505 |
453 |
$482.90 |
| 92567 |
|
50 |
47 |
$392.50 |
| 99173 |
|
214 |
214 |
$286.03 |
| 87420 |
|
48 |
48 |
$270.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
24 |
$262.86 |
| 90461 |
|
24 |
24 |
$198.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$102.30 |
| 36416 |
|
438 |
413 |
$98.97 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
13 |
$15.00 |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
16 |
13 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
16 |
13 |
$0.00 |