| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,542 |
6,405 |
$669K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,490 |
5,550 |
$378K |
| 99199 |
Unlisted special service, procedure or report |
57,326 |
35,574 |
$328K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,022 |
1,905 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,750 |
1,668 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,415 |
1,304 |
$122K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,383 |
1,735 |
$81K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,186 |
2,082 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,362 |
2,215 |
$56K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,907 |
1,770 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
504 |
456 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,521 |
1,425 |
$28K |
| 92587 |
|
1,924 |
1,753 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,503 |
1,237 |
$19K |
| 90474 |
|
890 |
850 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
195 |
180 |
$12K |
| 87807 |
|
910 |
684 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,334 |
1,248 |
$11K |
| 96127 |
|
1,455 |
1,314 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
82 |
81 |
$3K |
| 83655 |
|
182 |
163 |
$2K |
| 96161 |
|
695 |
631 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
80 |
75 |
$2K |
| 92552 |
|
1,449 |
1,343 |
$2K |
| D1206 |
Topical application of fluoride varnish |
81 |
80 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$1K |
| 85018 |
|
698 |
666 |
$718.71 |
| 99051 |
|
29 |
29 |
$662.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
23 |
$537.93 |
| 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) |
170 |
153 |
$479.02 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
32 |
$325.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$314.07 |
| 81025 |
|
30 |
28 |
$210.60 |
| 95117 |
|
14 |
13 |
$124.93 |
| 96160 |
|
30 |
29 |
$105.10 |
| 81005 |
|
80 |
58 |
$81.49 |
| 90686 |
|
593 |
543 |
$36.18 |
| 81003 |
|
18 |
12 |
$5.82 |
| 90633 |
|
671 |
633 |
$0.01 |
| 90647 |
|
458 |
435 |
$0.00 |
| 90716 |
|
171 |
161 |
$0.00 |
| 90697 |
|
233 |
220 |
$0.00 |
| 90680 |
|
321 |
311 |
$0.00 |
| 94760 |
|
315 |
301 |
$0.00 |
| 90723 |
|
810 |
773 |
$0.00 |
| 36416 |
|
622 |
603 |
$0.00 |
| 99174 |
|
1,820 |
1,698 |
$0.00 |
| 90696 |
|
59 |
58 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
37 |
32 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
35 |
31 |
$0.00 |
| 90677 |
|
244 |
233 |
$0.00 |
| A4616 |
Tubing (oxygen), per foot |
35 |
31 |
$0.00 |
| 90656 |
|
43 |
39 |
$0.00 |
| 90651 |
|
58 |
48 |
$0.00 |
| 90620 |
|
15 |
14 |
$0.00 |
| 90670 |
|
1,133 |
1,075 |
$0.00 |
| 90700 |
|
184 |
171 |
$0.00 |
| 90681 |
|
560 |
532 |
$0.00 |
| 90655 |
|
43 |
41 |
$0.00 |
| 87634 |
|
50 |
45 |
$0.00 |
| 90710 |
|
60 |
59 |
$0.00 |
| 90707 |
|
172 |
161 |
$0.00 |
| 90734 |
|
32 |
26 |
$0.00 |
| 90648 |
|
387 |
365 |
$0.00 |