| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,752 |
32,386 |
$1.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,018 |
5,370 |
$372K |
| 87428 |
|
5,563 |
5,073 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,481 |
1,299 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,531 |
1,223 |
$109K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,592 |
1,496 |
$86K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,923 |
1,630 |
$61K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,241 |
1,040 |
$55K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,268 |
2,501 |
$50K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,627 |
8,832 |
$44K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,181 |
544 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,250 |
3,898 |
$41K |
| 87634 |
|
955 |
771 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,690 |
3,923 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
566 |
449 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,405 |
2,011 |
$35K |
| 87631 |
|
579 |
517 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,191 |
1,022 |
$26K |
| 99223 |
Prolong inpt eval add15 m |
263 |
226 |
$23K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
800 |
663 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
271 |
256 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
211 |
194 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
7,228 |
6,115 |
$10K |
| 92551 |
|
818 |
637 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
160 |
153 |
$6K |
| 80061 |
Lipid panel |
1,117 |
1,002 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
65 |
56 |
$5K |
| 99381 |
|
63 |
42 |
$4K |
| 96161 |
|
429 |
319 |
$4K |
| 83037 |
|
1,390 |
1,273 |
$4K |
| 99201 |
|
135 |
106 |
$4K |
| 86403 |
|
700 |
510 |
$4K |
| 81003 |
|
2,930 |
2,544 |
$3K |
| 90688 |
|
566 |
484 |
$2K |
| 80053 |
Comprehensive metabolic panel |
477 |
444 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
74 |
65 |
$2K |
| 99173 |
|
469 |
393 |
$2K |
| 82947 |
|
774 |
691 |
$1K |
| 99401 |
|
147 |
96 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,270 |
1,039 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
86 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
109 |
81 |
$971.78 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
63 |
$968.66 |
| 86308 |
|
195 |
176 |
$897.43 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$826.00 |
| 81025 |
|
143 |
116 |
$810.21 |
| 90686 |
|
360 |
335 |
$643.72 |
| 90682 |
|
21 |
20 |
$560.10 |
| 99384 |
|
15 |
14 |
$493.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,619 |
1,348 |
$463.75 |
| 74018 |
|
17 |
17 |
$244.78 |
| 96160 |
|
92 |
53 |
$219.32 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
17 |
16 |
$176.85 |
| 82962 |
|
89 |
82 |
$107.47 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
140 |
129 |
$100.93 |
| 90715 |
|
160 |
133 |
$73.94 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$62.64 |
| 90648 |
|
554 |
503 |
$30.68 |
| G0008 |
Administration of influenza virus vaccine |
194 |
184 |
$12.40 |
| 90670 |
|
1,125 |
1,012 |
$10.00 |
| 36416 |
|
5,557 |
4,602 |
$0.00 |
| 90723 |
|
220 |
200 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
36 |
35 |
$0.00 |
| 90696 |
|
107 |
96 |
$0.00 |
| 90698 |
|
51 |
34 |
$0.00 |
| 90619 |
|
17 |
15 |
$0.00 |
| 90681 |
|
182 |
155 |
$0.00 |
| 90662 |
|
19 |
18 |
$0.00 |
| 90710 |
|
235 |
208 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
38 |
36 |
$0.00 |
| 90700 |
|
45 |
38 |
$0.00 |
| 90687 |
|
55 |
50 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
14 |
14 |
$0.00 |
| 90671 |
|
38 |
28 |
$0.00 |