| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,122 |
48,721 |
$3.08M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20,133 |
18,835 |
$1.70M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,875 |
27,693 |
$1.30M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,353 |
10,917 |
$980K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,723 |
8,000 |
$692K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15,488 |
14,998 |
$611K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,358 |
2,260 |
$200K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,175 |
2,008 |
$197K |
| 99460 |
|
2,085 |
1,954 |
$170K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
666 |
641 |
$63K |
| 90670 |
|
8,555 |
8,335 |
$46K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,877 |
1,758 |
$43K |
| 94760 |
|
22,883 |
21,057 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
997 |
971 |
$34K |
| 54150 |
|
313 |
306 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,755 |
3,624 |
$24K |
| 90698 |
|
3,626 |
3,537 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,380 |
1,289 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,284 |
2,195 |
$16K |
| 99463 |
|
153 |
145 |
$15K |
| 85018 |
|
10,559 |
10,105 |
$15K |
| 81002 |
|
9,344 |
8,846 |
$15K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
729 |
703 |
$14K |
| 99383 |
|
71 |
67 |
$7K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
8,231 |
7,842 |
$7K |
| A4550 |
Surgical trays |
576 |
540 |
$6K |
| 36416 |
|
2,341 |
1,950 |
$6K |
| 96127 |
|
1,230 |
1,177 |
$5K |
| 90680 |
|
5,948 |
5,779 |
$4K |
| 90633 |
|
2,767 |
2,687 |
$2K |
| 90744 |
|
1,499 |
1,470 |
$2K |
| 90686 |
|
1,551 |
1,495 |
$2K |
| 90671 |
|
2,963 |
2,807 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
70 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 84030 |
|
503 |
476 |
$1K |
| 69210 |
|
28 |
27 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
70 |
59 |
$982.73 |
| 94761 |
|
326 |
286 |
$842.36 |
| 99173 |
|
7,176 |
6,920 |
$759.69 |
| 0071A |
|
18 |
15 |
$550.18 |
| 90716 |
|
398 |
377 |
$412.44 |
| 99000 |
|
13,091 |
11,331 |
$291.30 |
| 64450 |
|
408 |
399 |
$276.26 |
| G8482 |
Influenza immunization administered or previously received |
1,710 |
1,646 |
$253.75 |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
408 |
399 |
$245.05 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
116 |
106 |
$177.98 |
| 90696 |
|
198 |
190 |
$177.16 |
| 90734 |
|
14 |
14 |
$133.32 |
| 90707 |
|
264 |
258 |
$77.27 |
| 90700 |
|
158 |
157 |
$74.56 |
| 90710 |
|
179 |
169 |
$67.68 |
| 90651 |
|
304 |
297 |
$44.45 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
48 |
43 |
$10.79 |
| 90697 |
|
1,719 |
1,678 |
$1.90 |
| 91307 |
|
43 |
28 |
$0.13 |
| 90619 |
|
251 |
245 |
$0.11 |
| 90620 |
|
17 |
17 |
$0.08 |
| 99051 |
|
169 |
164 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,165 |
1,080 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
323 |
313 |
$0.00 |
| 90715 |
|
97 |
96 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
40 |
40 |
$0.00 |
| A6217 |
Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
559 |
526 |
$0.00 |
| 97802 |
|
1,265 |
1,222 |
$0.00 |
| 90647 |
|
129 |
125 |
$0.00 |
| 90656 |
|
130 |
128 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
13 |
$0.00 |