| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,166 |
14,750 |
$699K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,965 |
4,726 |
$459K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,939 |
3,845 |
$319K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,536 |
3,394 |
$298K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,758 |
1,685 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,669 |
1,609 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,440 |
1,387 |
$49K |
| 90670 |
|
2,804 |
2,665 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,341 |
11,713 |
$40K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,675 |
7,135 |
$30K |
| 90651 |
|
608 |
576 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
78 |
$7K |
| 90686 |
|
3,289 |
3,165 |
$7K |
| 99381 |
|
85 |
74 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
315 |
148 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
44 |
44 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
571 |
547 |
$3K |
| 99383 |
|
25 |
25 |
$2K |
| 90710 |
|
196 |
176 |
$2K |
| 90734 |
|
595 |
560 |
$2K |
| 90671 |
|
294 |
286 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,404 |
701 |
$2K |
| 99384 |
|
16 |
15 |
$2K |
| 90723 |
|
1,643 |
1,586 |
$1K |
| 90620 |
|
673 |
640 |
$828.21 |
| 90461 |
|
86 |
81 |
$828.00 |
| 90655 |
|
1,883 |
1,807 |
$747.18 |
| 90685 |
|
354 |
217 |
$737.44 |
| 90633 |
|
1,772 |
1,658 |
$702.14 |
| 92552 |
|
1,004 |
951 |
$534.74 |
| 90707 |
|
191 |
167 |
$408.75 |
| 83655 |
|
701 |
625 |
$309.98 |
| 90716 |
|
165 |
132 |
$246.38 |
| 90649 |
|
234 |
226 |
$209.51 |
| 90681 |
|
878 |
845 |
$185.00 |
| 90474 |
|
19 |
19 |
$181.12 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,227 |
1,138 |
$130.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$130.00 |
| 90696 |
|
184 |
164 |
$96.18 |
| 97803 |
|
316 |
274 |
$77.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
27 |
$74.13 |
| 90700 |
|
218 |
194 |
$65.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
114 |
87 |
$53.00 |
| 90647 |
|
707 |
706 |
$50.00 |
| 90715 |
|
111 |
109 |
$40.00 |
| 87807 |
|
96 |
82 |
$15.35 |
| 90648 |
|
876 |
781 |
$10.00 |
| 99173 |
|
1,148 |
1,058 |
$0.00 |
| 90621 |
|
118 |
99 |
$0.00 |
| 90473 |
|
149 |
118 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
14 |
$0.00 |
| 81002 |
|
34 |
27 |
$0.00 |
| 99072 |
|
60 |
60 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
31 |
14 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,106 |
1,017 |
$0.00 |
| 85018 |
|
169 |
133 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$0.00 |
| 90698 |
|
39 |
28 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 94760 |
|
14 |
13 |
$0.00 |