| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,773 |
38,388 |
$2.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,130 |
17,220 |
$1.22M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,051 |
19,536 |
$451K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,692 |
5,582 |
$350K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,108 |
4,817 |
$323K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31,813 |
28,067 |
$306K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,842 |
5,684 |
$297K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,481 |
4,412 |
$286K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,760 |
2,727 |
$204K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,075 |
1,938 |
$156K |
| 96127 |
|
10,347 |
9,700 |
$98K |
| 99188 |
|
3,678 |
3,599 |
$95K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,088 |
2,885 |
$91K |
| 90461 |
|
4,384 |
4,227 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,875 |
1,732 |
$65K |
| ATP04 |
|
4,224 |
4,222 |
$31K |
| 85018 |
|
8,906 |
8,527 |
$18K |
| 92551 |
|
2,011 |
1,953 |
$18K |
| 83655 |
|
1,643 |
1,592 |
$17K |
| 99050 |
|
1,145 |
1,123 |
$11K |
| 99177 |
|
4,830 |
4,747 |
$11K |
| 87430 |
|
912 |
887 |
$10K |
| 80061 |
Lipid panel |
5,395 |
5,162 |
$9K |
| 94760 |
|
3,335 |
3,056 |
$6K |
| 99173 |
|
340 |
328 |
$6K |
| 87070 |
|
655 |
645 |
$5K |
| 99215 |
Prolong outpt/office vis |
62 |
61 |
$4K |
| 82947 |
|
5,522 |
5,306 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
273 |
271 |
$3K |
| 99403 |
|
74 |
39 |
$3K |
| 92587 |
|
711 |
611 |
$3K |
| 0071A |
|
81 |
66 |
$3K |
| 99381 |
|
40 |
40 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
101 |
$2K |
| 0072A |
|
44 |
44 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
12 |
$2K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
28 |
13 |
$2K |
| A4258 |
Spring-powered device for lancet, each |
9,229 |
9,026 |
$1K |
| 90658 |
|
4,662 |
4,607 |
$1K |
| 87634 |
|
14 |
14 |
$804.96 |
| 81003 |
|
313 |
288 |
$604.52 |
| 92583 |
|
12 |
12 |
$524.28 |
| ATP03 |
|
61 |
61 |
$417.85 |
| 90651 |
|
350 |
340 |
$197.99 |
| 94664 |
|
13 |
13 |
$149.80 |
| 36416 |
|
9,110 |
8,914 |
$145.87 |
| 96161 |
|
681 |
666 |
$79.86 |
| 90686 |
|
2,549 |
2,511 |
$58.59 |
| 90674 |
|
140 |
139 |
$32.30 |
| 99072 |
|
19 |
19 |
$12.50 |
| 99000 |
|
297 |
297 |
$6.60 |
| 90648 |
|
2,498 |
2,473 |
$0.00 |
| 90670 |
|
2,272 |
2,234 |
$0.00 |
| 90661 |
|
104 |
104 |
$0.00 |
| 90655 |
|
295 |
291 |
$0.00 |
| 90734 |
|
128 |
125 |
$0.00 |
| 90710 |
|
37 |
37 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90715 |
|
38 |
38 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90680 |
|
1,143 |
1,132 |
$0.00 |
| 90634 |
|
971 |
953 |
$0.00 |
| 90723 |
|
1,327 |
1,313 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
98 |
95 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
576 |
575 |
$0.00 |
| 90677 |
|
191 |
190 |
$0.00 |
| 91307 |
|
134 |
119 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |