| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,913 |
47,173 |
$3.81M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,645 |
19,044 |
$780K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,134 |
6,575 |
$604K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,516 |
4,436 |
$365K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,882 |
3,791 |
$342K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,277 |
4,182 |
$341K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,417 |
12,924 |
$225K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,216 |
2,949 |
$222K |
| 92552 |
|
8,989 |
8,850 |
$220K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,013 |
2,827 |
$110K |
| 99496 |
|
603 |
580 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,750 |
5,463 |
$55K |
| 86580 |
|
7,402 |
7,223 |
$50K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,715 |
2,467 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,156 |
1,146 |
$36K |
| 99401 |
|
1,020 |
998 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,827 |
1,745 |
$20K |
| 90461 |
|
1,250 |
1,232 |
$20K |
| 92587 |
|
1,205 |
1,081 |
$16K |
| 96127 |
|
4,034 |
3,910 |
$14K |
| 92551 |
|
1,216 |
1,175 |
$11K |
| 99173 |
|
7,726 |
7,513 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
126 |
$11K |
| 80050 |
General health panel |
252 |
250 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
5,477 |
5,228 |
$9K |
| 90686 |
|
3,294 |
3,165 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,190 |
1,127 |
$9K |
| 90677 |
|
442 |
382 |
$8K |
| 90670 |
|
849 |
811 |
$7K |
| 0071A |
|
186 |
162 |
$6K |
| 90697 |
|
192 |
177 |
$6K |
| V5008 |
Hearing screening |
200 |
196 |
$6K |
| 90734 |
|
232 |
231 |
$6K |
| 81000 |
|
2,325 |
2,239 |
$6K |
| 90651 |
|
139 |
130 |
$5K |
| 83655 |
|
1,205 |
1,142 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
657 |
645 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
349 |
325 |
$4K |
| 99188 |
|
234 |
223 |
$3K |
| 94664 |
|
261 |
247 |
$3K |
| 69210 |
|
82 |
80 |
$3K |
| 99462 |
|
73 |
61 |
$3K |
| 90619 |
|
45 |
45 |
$3K |
| 90674 |
|
383 |
334 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
181 |
$3K |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
566 |
537 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
193 |
155 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
45 |
45 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 90620 |
|
26 |
25 |
$2K |
| 99381 |
|
27 |
25 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,273 |
1,272 |
$1K |
| 0001A |
|
29 |
29 |
$1K |
| 99460 |
|
13 |
13 |
$804.71 |
| 90621 |
|
29 |
29 |
$771.83 |
| 97802 |
|
202 |
202 |
$725.81 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
150 |
148 |
$718.80 |
| 90688 |
|
97 |
97 |
$659.40 |
| 90633 |
|
246 |
227 |
$657.33 |
| 99442 |
|
18 |
18 |
$558.86 |
| 81005 |
|
237 |
231 |
$491.90 |
| 81002 |
|
829 |
810 |
$471.87 |
| 90756 |
|
14 |
14 |
$317.46 |
| 85018 |
|
235 |
230 |
$309.30 |
| 90707 |
|
39 |
38 |
$269.61 |
| 90723 |
|
53 |
53 |
$259.25 |
| 90710 |
|
25 |
25 |
$250.00 |
| 87081 |
|
66 |
65 |
$228.40 |
| 90687 |
|
19 |
19 |
$215.16 |
| 90671 |
|
24 |
21 |
$204.01 |
| 90715 |
|
40 |
38 |
$190.92 |
| 3008F |
|
56 |
56 |
$190.00 |
| 90680 |
|
185 |
165 |
$175.03 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
164 |
154 |
$169.97 |
| 90716 |
|
27 |
26 |
$159.99 |
| 96160 |
|
86 |
85 |
$151.08 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
145 |
130 |
$123.00 |
| 90648 |
|
58 |
52 |
$76.66 |
| 85013 |
|
27 |
27 |
$75.12 |
| 81025 |
|
14 |
14 |
$71.56 |
| 90696 |
|
24 |
24 |
$58.36 |
| 91307 |
|
244 |
198 |
$53.00 |
| 81003 |
|
124 |
117 |
$44.01 |
| 90700 |
|
26 |
24 |
$28.21 |
| 90647 |
|
82 |
75 |
$26.23 |
| 81099 |
|
44 |
41 |
$21.00 |
| 94760 |
|
22 |
22 |
$16.60 |
| 91300 |
|
31 |
27 |
$6.00 |
| A9150 |
Non-prescription drugs |
64 |
59 |
$5.00 |
| 36416 |
|
13 |
13 |
$1.80 |
| 1000F |
|
283 |
263 |
$0.00 |
| 90732 |
|
19 |
17 |
$0.00 |
| 2018F |
|
194 |
172 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
22 |
17 |
$0.00 |
| 90681 |
|
78 |
58 |
$0.00 |