| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90670 |
|
10,234 |
2,702 |
$284K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,312 |
854 |
$222K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,507 |
2,667 |
$178K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,238 |
2,400 |
$165K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,687 |
1,139 |
$148K |
| 99243 |
|
1,364 |
1,133 |
$97K |
| 90680 |
|
6,609 |
1,710 |
$66K |
| 90686 |
|
8,693 |
2,251 |
$62K |
| 90723 |
|
6,729 |
1,753 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,930 |
795 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,558 |
1,305 |
$46K |
| 90716 |
|
2,480 |
687 |
$45K |
| 90651 |
|
936 |
220 |
$43K |
| 90710 |
|
866 |
223 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,441 |
533 |
$38K |
| 90648 |
|
8,129 |
2,167 |
$35K |
| 90633 |
|
4,418 |
1,233 |
$33K |
| 90649 |
|
262 |
90 |
$31K |
| 90707 |
|
2,470 |
686 |
$27K |
| 99381 |
|
855 |
481 |
$27K |
| 94010 |
|
1,233 |
653 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
646 |
542 |
$25K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
332 |
232 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
375 |
196 |
$24K |
| 83655 |
|
4,907 |
2,364 |
$20K |
| 90734 |
|
695 |
194 |
$20K |
| 97161 |
|
171 |
119 |
$19K |
| 99242 |
|
354 |
292 |
$19K |
| 90700 |
|
1,906 |
531 |
$15K |
| 92015 |
Determination of refractive state |
890 |
799 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,392 |
5,359 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
179 |
$11K |
| 90698 |
|
1,004 |
278 |
$11K |
| 90656 |
|
1,119 |
368 |
$11K |
| 92551 |
|
753 |
396 |
$11K |
| 80053 |
Comprehensive metabolic panel |
3,352 |
2,234 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,340 |
964 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,415 |
3,265 |
$8K |
| 90685 |
|
434 |
191 |
$8K |
| 92567 |
|
563 |
475 |
$8K |
| 99173 |
|
1,198 |
609 |
$7K |
| 99245 |
|
76 |
52 |
$7K |
| 94760 |
|
2,713 |
1,961 |
$6K |
| 90696 |
|
411 |
108 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
167 |
55 |
$5K |
| 92558 |
|
371 |
179 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
585 |
309 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
171 |
38 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
320 |
227 |
$3K |
| 90715 |
|
294 |
76 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
94 |
81 |
$3K |
| 85018 |
|
4,554 |
2,170 |
$3K |
| 86480 |
|
109 |
58 |
$2K |
| 99382 |
|
91 |
26 |
$2K |
| 80061 |
Lipid panel |
1,368 |
800 |
$2K |
| 95012 |
|
525 |
331 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,049 |
639 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$2K |
| 97162 |
|
19 |
12 |
$2K |
| 80076 |
|
784 |
418 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
797 |
564 |
$2K |
| 86140 |
|
1,328 |
748 |
$2K |
| 94761 |
|
273 |
137 |
$2K |
| 99383 |
|
67 |
26 |
$2K |
| 84439 |
|
805 |
583 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
619 |
427 |
$2K |
| 90744 |
|
591 |
150 |
$2K |
| 83550 |
|
574 |
385 |
$1K |
| 82728 |
|
817 |
541 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
122 |
82 |
$1K |
| 83735 |
|
924 |
468 |
$1K |
| 72170 |
|
129 |
115 |
$1K |
| 73610 |
|
75 |
61 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
12 |
$1K |
| 92579 |
|
54 |
44 |
$1K |
| 82962 |
|
1,781 |
738 |
$1K |
| 85027 |
|
704 |
463 |
$1K |
| 87631 |
|
21 |
20 |
$1K |
| 83037 |
|
1,904 |
687 |
$1K |
| 85652 |
|
1,270 |
722 |
$971.70 |
| 96127 |
|
67 |
42 |
$952.07 |
| 83540 |
|
590 |
395 |
$949.50 |
| 82784 |
|
366 |
212 |
$842.32 |
| 87390 |
|
77 |
46 |
$772.11 |
| 84100 |
|
995 |
518 |
$766.09 |
| 85046 |
|
618 |
410 |
$732.13 |
| 82785 |
|
322 |
142 |
$727.44 |
| 92557 |
|
20 |
12 |
$692.46 |
| 86003 |
|
3,708 |
273 |
$689.58 |
| 87430 |
|
96 |
81 |
$680.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17,637 |
2,548 |
$653.00 |
| 73590 |
|
54 |
30 |
$639.51 |
| 73130 |
|
57 |
28 |
$605.38 |
| 92226 |
|
16 |
14 |
$587.24 |
| 73630 |
|
53 |
41 |
$554.38 |
| 73560 |
|
49 |
36 |
$477.19 |
| 81001 |
|
614 |
458 |
$442.85 |
| 83021 |
|
87 |
67 |
$409.33 |
| 86701 |
|
77 |
46 |
$384.91 |
| 83516 |
|
213 |
137 |
$380.30 |
| 73100 |
|
34 |
29 |
$366.68 |
| 84460 |
|
212 |
126 |
$353.12 |
| 73110 |
|
26 |
24 |
$313.22 |
| 86702 |
|
77 |
46 |
$302.56 |
| 73070 |
|
22 |
16 |
$228.92 |
| 73090 |
|
22 |
17 |
$195.86 |
| 82570 |
|
145 |
110 |
$192.94 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
15 |
12 |
$181.86 |
| 73080 |
|
14 |
13 |
$178.98 |
| 92555 |
|
12 |
12 |
$177.48 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
85 |
24 |
$153.52 |
| 85014 |
|
234 |
131 |
$146.90 |
| 73140 |
|
20 |
12 |
$139.73 |
| 84450 |
|
82 |
57 |
$139.08 |
| 82247 |
|
64 |
40 |
$133.93 |
| 82977 |
|
143 |
102 |
$131.79 |
| 82248 |
|
107 |
61 |
$88.75 |
| 82607 |
|
18 |
12 |
$81.76 |
| 87081 |
|
33 |
27 |
$67.88 |
| 80164 |
|
28 |
25 |
$51.79 |
| 87101 |
|
18 |
14 |
$51.34 |
| 81003 |
|
37 |
12 |
$34.98 |
| 90474 |
|
4,184 |
1,158 |
$32.25 |
| 36415 |
Collection of venous blood by venipuncture |
279 |
247 |
$31.92 |
| 82465 |
|
13 |
12 |
$26.78 |
| 82947 |
|
13 |
13 |
$24.18 |
| 80184 |
|
14 |
13 |
$21.58 |
| 86901 |
|
41 |
24 |
$18.32 |
| 86900 |
|
41 |
24 |
$17.02 |
| 83690 |
|
17 |
14 |
$16.35 |
| 86850 |
|
26 |
12 |
$13.70 |
| 84436 |
|
13 |
12 |
$9.81 |
| 96161 |
|
3,898 |
1,175 |
$0.00 |
| 90378 |
|
14 |
12 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
45 |
18 |
$0.00 |