| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,567 |
17,851 |
$1.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,019 |
5,640 |
$603K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,171 |
7,383 |
$364K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
8,315 |
7,645 |
$313K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,304 |
3,244 |
$302K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,201 |
2,869 |
$278K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,836 |
2,790 |
$262K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,167 |
2,102 |
$217K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,601 |
10,264 |
$200K |
| 90461 |
|
3,941 |
3,808 |
$134K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,638 |
5,751 |
$78K |
| 99050 |
|
1,877 |
1,796 |
$69K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
560 |
543 |
$57K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
434 |
417 |
$42K |
| 82728 |
|
511 |
499 |
$38K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
420 |
403 |
$36K |
| 86481 |
|
196 |
189 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,800 |
2,686 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,596 |
1,159 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,060 |
1,023 |
$25K |
| 69210 |
|
573 |
552 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
752 |
708 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
179 |
175 |
$15K |
| 96127 |
|
3,417 |
3,289 |
$13K |
| 99051 |
|
510 |
494 |
$12K |
| 80061 |
Lipid panel |
151 |
148 |
$11K |
| 99442 |
|
343 |
322 |
$10K |
| 99177 |
|
2,073 |
2,011 |
$10K |
| 94010 |
|
315 |
302 |
$7K |
| 90480 |
|
158 |
156 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
589 |
564 |
$6K |
| 0072A |
|
127 |
127 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
92 |
75 |
$5K |
| 99460 |
|
99 |
81 |
$4K |
| 87070 |
|
100 |
91 |
$4K |
| 81025 |
|
736 |
675 |
$4K |
| 81002 |
|
1,687 |
1,587 |
$4K |
| 0071A |
|
85 |
85 |
$3K |
| 94664 |
|
223 |
209 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
163 |
160 |
$2K |
| 80076 |
|
56 |
54 |
$2K |
| 99000 |
|
425 |
412 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
13 |
$975.96 |
| 96380 |
|
46 |
44 |
$964.78 |
| 96161 |
|
222 |
206 |
$877.32 |
| 83655 |
|
49 |
46 |
$824.82 |
| 90686 |
|
1,624 |
1,530 |
$767.54 |
| 99441 |
|
38 |
38 |
$565.44 |
| 0003A |
|
13 |
13 |
$538.81 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
27 |
$478.67 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$353.84 |
| 86580 |
|
45 |
41 |
$250.78 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
57 |
53 |
$143.06 |
| 87807 |
|
12 |
12 |
$124.56 |
| 1036F |
|
732 |
706 |
$122.50 |
| 90670 |
|
164 |
156 |
$77.00 |
| 90672 |
|
40 |
40 |
$19.00 |
| 90647 |
|
39 |
38 |
$17.00 |
| 90723 |
|
14 |
14 |
$7.00 |
| 90734 |
|
14 |
14 |
$6.50 |
| 90633 |
|
12 |
12 |
$5.50 |
| 90656 |
|
78 |
78 |
$1.20 |
| 90661 |
|
15 |
14 |
$0.11 |