| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,423 |
12,881 |
$623K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,760 |
3,702 |
$434K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,435 |
4,455 |
$237K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,147 |
3,825 |
$192K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,690 |
1,982 |
$133K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,700 |
2,410 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,963 |
1,637 |
$124K |
| 87634 |
|
1,764 |
1,365 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,464 |
1,199 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,627 |
1,221 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
909 |
770 |
$67K |
| 83655 |
|
1,968 |
1,599 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,290 |
1,750 |
$19K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,395 |
945 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,086 |
919 |
$16K |
| 80061 |
Lipid panel |
618 |
572 |
$11K |
| 99215 |
Prolong outpt/office vis |
118 |
104 |
$10K |
| 85013 |
|
2,970 |
2,563 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
178 |
165 |
$6K |
| 86328 |
|
142 |
129 |
$5K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
115 |
93 |
$5K |
| 90651 |
|
459 |
372 |
$3K |
| 90688 |
|
1,397 |
1,193 |
$3K |
| 90670 |
|
1,386 |
1,132 |
$2K |
| 90734 |
|
359 |
292 |
$2K |
| 90716 |
|
567 |
476 |
$2K |
| 87088 |
|
179 |
155 |
$2K |
| 87071 |
|
280 |
249 |
$2K |
| 90707 |
|
578 |
485 |
$1K |
| 81003 |
|
681 |
544 |
$1K |
| 0071A |
|
35 |
33 |
$1K |
| 90620 |
|
118 |
90 |
$995.37 |
| 0072A |
|
24 |
24 |
$960.00 |
| 90713 |
|
1,560 |
1,255 |
$880.71 |
| 90700 |
|
1,915 |
1,562 |
$715.72 |
| 90633 |
|
412 |
372 |
$481.45 |
| 90715 |
|
184 |
153 |
$464.05 |
| 90648 |
|
1,407 |
1,146 |
$402.72 |
| 86710 |
|
15 |
12 |
$385.40 |
| 90744 |
|
410 |
353 |
$350.00 |
| 87899 |
|
20 |
17 |
$272.64 |
| 87070 |
|
21 |
20 |
$244.80 |
| 86308 |
|
30 |
30 |
$198.45 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
1,207 |
804 |
$188.61 |
| 90687 |
|
457 |
360 |
$167.30 |
| 90680 |
|
364 |
278 |
$160.14 |
| 85027 |
|
24 |
19 |
$147.06 |
| 99000 |
|
61 |
53 |
$85.59 |
| 99072 |
|
1,975 |
1,582 |
$0.00 |
| 90658 |
|
17 |
16 |
$0.00 |
| 91307 |
|
109 |
80 |
$0.00 |