| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,754 |
28,509 |
$1.47M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19,819 |
16,357 |
$838K |
| S8301 |
Infection control supplies, not otherwise specified |
18,840 |
13,750 |
$400K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25,960 |
11,183 |
$344K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,242 |
5,530 |
$319K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,785 |
2,648 |
$228K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,662 |
2,592 |
$214K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,239 |
2,159 |
$170K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,054 |
8,655 |
$167K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,511 |
1,430 |
$112K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,434 |
6,005 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,575 |
3,364 |
$85K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,578 |
8,168 |
$60K |
| 87807 |
|
3,893 |
3,334 |
$41K |
| 85027 |
|
3,717 |
3,285 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
743 |
711 |
$19K |
| 0001A |
|
500 |
495 |
$19K |
| 81002 |
|
6,038 |
5,513 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,502 |
1,206 |
$17K |
| 0002A |
|
444 |
443 |
$17K |
| 0071A |
|
406 |
396 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
227 |
214 |
$15K |
| 90461 |
|
2,931 |
2,459 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,383 |
1,051 |
$11K |
| 0072A |
|
275 |
273 |
$11K |
| 0004A |
|
273 |
268 |
$9K |
| 90480 |
|
343 |
328 |
$9K |
| 0124A |
|
245 |
243 |
$9K |
| 97169 |
|
372 |
359 |
$9K |
| 92551 |
|
1,435 |
1,411 |
$8K |
| 96160 |
|
2,869 |
2,813 |
$5K |
| 81025 |
|
607 |
580 |
$4K |
| 0111A |
|
72 |
72 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
452 |
445 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,459 |
1,167 |
$2K |
| 0074A |
|
55 |
55 |
$2K |
| 90688 |
|
3,693 |
3,614 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,623 |
2,563 |
$2K |
| 0154A |
|
35 |
34 |
$1K |
| 99381 |
|
15 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
72 |
$1K |
| 99050 |
|
50 |
42 |
$657.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$554.04 |
| 0112A |
|
12 |
12 |
$480.00 |
| 74019 |
|
14 |
14 |
$422.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$54.88 |
| 90658 |
|
211 |
211 |
$16.12 |
| 91307 |
|
857 |
765 |
$15.89 |
| 90620 |
|
338 |
334 |
$0.13 |
| 90677 |
|
305 |
287 |
$0.04 |
| 90651 |
|
432 |
427 |
$0.02 |
| 91300 |
|
1,400 |
1,321 |
$0.01 |
| 90685 |
|
395 |
390 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,189 |
3,161 |
$0.00 |
| 99173 |
|
1,494 |
1,468 |
$0.00 |
| 3078F |
|
30,383 |
22,747 |
$0.00 |
| 90734 |
|
412 |
405 |
$0.00 |
| 90670 |
|
743 |
733 |
$0.00 |
| 91311 |
|
98 |
96 |
$0.00 |
| 90707 |
|
312 |
310 |
$0.00 |
| 90633 |
|
332 |
326 |
$0.00 |
| 91320 |
|
45 |
42 |
$0.00 |
| 91322 |
|
53 |
48 |
$0.00 |
| 90715 |
|
36 |
36 |
$0.00 |
| 91312 |
|
245 |
243 |
$0.00 |
| 90648 |
|
242 |
235 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
467 |
311 |
$0.00 |
| 91321 |
|
15 |
15 |
$0.00 |
| 90687 |
|
61 |
55 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
30 |
21 |
$0.00 |
| 90680 |
|
589 |
569 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
17,966 |
13,593 |
$0.00 |
| 90698 |
|
217 |
207 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,021 |
775 |
$0.00 |
| 3074F |
|
30,640 |
22,874 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
10,336 |
7,992 |
$0.00 |
| 90657 |
|
57 |
57 |
$0.00 |
| 90716 |
|
301 |
299 |
$0.00 |
| 3075F |
|
87 |
78 |
$0.00 |
| 3079F |
|
321 |
288 |
$0.00 |
| 90696 |
|
50 |
50 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
226 |
205 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 91315 |
|
35 |
34 |
$0.00 |
| 90744 |
|
26 |
25 |
$0.00 |
| 91319 |
|
14 |
14 |
$0.00 |