| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,076 |
15,621 |
$781K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,646 |
2,381 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,593 |
1,426 |
$37K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,653 |
2,248 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,282 |
6,417 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
351 |
314 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
256 |
215 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,384 |
1,212 |
$13K |
| 90670 |
|
214 |
207 |
$9K |
| 99307 |
|
1,048 |
714 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
579 |
497 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,496 |
1,378 |
$5K |
| 80061 |
Lipid panel |
869 |
810 |
$4K |
| 99457 |
|
582 |
543 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
87 |
81 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
105 |
88 |
$3K |
| 99460 |
|
33 |
29 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
26 |
$2K |
| 99462 |
|
45 |
28 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
542 |
502 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
504 |
400 |
$2K |
| 90461 |
|
819 |
738 |
$2K |
| 92551 |
|
171 |
148 |
$1K |
| 90686 |
|
296 |
265 |
$1K |
| 99454 |
|
141 |
125 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$955.70 |
| 87807 |
|
98 |
90 |
$942.61 |
| 81001 |
|
525 |
450 |
$769.66 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$744.48 |
| 99318 |
|
38 |
36 |
$661.41 |
| 90677 |
|
21 |
14 |
$567.44 |
| 99490 |
Ccm add 20min |
42 |
42 |
$435.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
39 |
$413.99 |
| 99173 |
|
260 |
228 |
$413.84 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
463 |
401 |
$311.47 |
| 84443 |
Thyroid stimulating hormone (TSH) |
109 |
106 |
$302.12 |
| 99051 |
|
24 |
24 |
$292.00 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$283.44 |
| 36415 |
Collection of venous blood by venipuncture |
143 |
124 |
$229.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$215.24 |
| 82948 |
|
28 |
27 |
$92.33 |
| 90647 |
|
18 |
18 |
$57.00 |
| 96161 |
|
25 |
24 |
$39.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
59 |
49 |
$23.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
62 |
55 |
$8.38 |
| 90723 |
|
56 |
55 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
13 |
$0.00 |
| 99000 |
|
43 |
18 |
$0.00 |
| 3074F |
|
21 |
15 |
$0.00 |
| 90648 |
|
21 |
14 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 3078F |
|
18 |
13 |
$0.00 |