| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,837 |
35,838 |
$5.96M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,019 |
1,721 |
$346K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22,833 |
17,279 |
$219K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,781 |
6,973 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,219 |
27,232 |
$130K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,061 |
4,525 |
$120K |
| 87632 |
|
604 |
536 |
$57K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
563 |
449 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
669 |
553 |
$19K |
| 87486 |
|
605 |
537 |
$14K |
| 87581 |
|
605 |
537 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
568 |
531 |
$14K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
603 |
536 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,310 |
1,133 |
$13K |
| 80061 |
Lipid panel |
1,109 |
922 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,950 |
1,391 |
$12K |
| 92551 |
|
3,620 |
2,862 |
$12K |
| 99173 |
|
3,754 |
2,926 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,264 |
2,618 |
$10K |
| 99000 |
|
13,478 |
9,712 |
$10K |
| 36416 |
|
5,511 |
4,085 |
$10K |
| 90670 |
|
1,552 |
1,215 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,415 |
2,016 |
$7K |
| 90698 |
|
1,196 |
946 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,009 |
1,680 |
$7K |
| 90680 |
|
922 |
735 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,603 |
1,015 |
$5K |
| 90716 |
|
720 |
556 |
$4K |
| 90707 |
|
706 |
544 |
$4K |
| 83655 |
|
400 |
277 |
$4K |
| 90744 |
|
625 |
488 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,712 |
1,489 |
$4K |
| 90651 |
|
597 |
474 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,031 |
1,839 |
$3K |
| 90633 |
|
375 |
286 |
$2K |
| 90734 |
|
341 |
272 |
$2K |
| 90677 |
|
257 |
253 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,877 |
2,778 |
$2K |
| 81002 |
|
934 |
694 |
$2K |
| 99383 |
|
107 |
66 |
$2K |
| 80053 |
Comprehensive metabolic panel |
311 |
189 |
$1K |
| 99384 |
|
57 |
39 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,902 |
2,438 |
$1K |
| 90715 |
|
201 |
151 |
$1K |
| 86403 |
|
420 |
265 |
$804.53 |
| 87807 |
|
96 |
72 |
$781.00 |
| 92579 |
|
96 |
67 |
$741.00 |
| 36415 |
Collection of venous blood by venipuncture |
601 |
435 |
$738.25 |
| 86328 |
|
27 |
24 |
$728.18 |
| 90686 |
|
114 |
93 |
$688.00 |
| 90672 |
|
158 |
95 |
$640.00 |
| 90696 |
|
118 |
76 |
$560.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
734 |
445 |
$546.00 |
| 85018 |
|
813 |
575 |
$414.00 |
| 90697 |
|
100 |
93 |
$368.00 |
| 90648 |
|
50 |
47 |
$368.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
80 |
53 |
$342.00 |
| 92575 |
|
92 |
64 |
$306.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
530 |
303 |
$305.00 |
| 90461 |
|
1,135 |
731 |
$304.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,069 |
726 |
$219.12 |
| 90661 |
|
16 |
16 |
$120.00 |
| 90685 |
|
134 |
93 |
$120.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
13 |
$100.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
141 |
84 |
$99.92 |
| 90688 |
|
37 |
21 |
$32.00 |
| 94664 |
|
89 |
58 |
$10.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
242 |
152 |
$0.00 |
| 90474 |
|
47 |
30 |
$0.00 |
| 94760 |
|
65 |
40 |
$0.00 |
| 87276 |
|
86 |
84 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
93 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
233 |
119 |
$0.00 |
| 90473 |
|
109 |
81 |
$0.00 |
| 87275 |
|
81 |
79 |
$0.00 |