| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,579 |
15,870 |
$1.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,587 |
7,723 |
$407K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
948 |
902 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,928 |
1,829 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,745 |
1,634 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,702 |
1,628 |
$104K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,598 |
2,409 |
$103K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,615 |
10,364 |
$100K |
| Q3014 |
Telehealth originating site facility fee |
4,238 |
3,839 |
$80K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,054 |
2,725 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
749 |
667 |
$40K |
| 86328 |
|
1,192 |
1,142 |
$37K |
| 87428 |
|
746 |
681 |
$34K |
| 86403 |
|
3,511 |
3,153 |
$31K |
| 90686 |
|
1,600 |
1,544 |
$28K |
| 90700 |
|
1,541 |
1,468 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
439 |
424 |
$27K |
| 90648 |
|
1,405 |
1,351 |
$26K |
| 90670 |
|
1,404 |
1,342 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,030 |
1,914 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
547 |
531 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,201 |
2,109 |
$22K |
| 99401 |
|
824 |
781 |
$19K |
| 87070 |
|
1,984 |
1,859 |
$19K |
| 99173 |
|
4,366 |
4,111 |
$19K |
| 92551 |
|
3,872 |
3,635 |
$17K |
| 90713 |
|
769 |
729 |
$14K |
| 81001 |
|
3,363 |
3,169 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
643 |
484 |
$10K |
| 90687 |
|
561 |
536 |
$10K |
| 90688 |
|
608 |
539 |
$10K |
| 90680 |
|
506 |
482 |
$9K |
| 99215 |
Prolong outpt/office vis |
84 |
64 |
$8K |
| 87634 |
|
154 |
150 |
$7K |
| 90633 |
|
403 |
389 |
$7K |
| 90756 |
|
336 |
329 |
$7K |
| 90707 |
|
325 |
313 |
$6K |
| 90651 |
|
289 |
274 |
$6K |
| 90716 |
|
294 |
279 |
$5K |
| 90744 |
|
261 |
247 |
$5K |
| 0071A |
|
94 |
91 |
$3K |
| 87400 |
|
204 |
189 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
157 |
145 |
$1K |
| 0002A |
|
34 |
33 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
132 |
124 |
$1K |
| 0001A |
|
29 |
29 |
$1K |
| 0072A |
|
29 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$963.00 |
| 90685 |
|
57 |
50 |
$930.13 |
| 96127 |
|
298 |
293 |
$918.87 |
| 90734 |
|
39 |
38 |
$712.44 |
| 90461 |
|
17 |
17 |
$687.83 |
| 0081A |
|
17 |
16 |
$640.00 |
| 90661 |
|
15 |
15 |
$552.75 |
| 90671 |
|
32 |
29 |
$494.75 |
| 36416 |
|
303 |
233 |
$490.00 |
| 90674 |
|
14 |
13 |
$419.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
70 |
48 |
$405.00 |
| 90619 |
|
18 |
18 |
$316.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
13 |
$297.60 |
| 90696 |
|
13 |
13 |
$257.27 |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
12 |
$220.00 |
| 90715 |
|
12 |
12 |
$197.90 |
| 94664 |
|
15 |
12 |
$110.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$4.70 |
| 99080 |
|
203 |
182 |
$0.00 |
| 91308 |
|
49 |
46 |
$0.00 |
| 91300 |
|
117 |
106 |
$0.00 |
| 91305 |
|
26 |
26 |
$0.00 |
| 91307 |
|
134 |
127 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
131 |
122 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
79 |
64 |
$0.00 |