| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,793 |
12,952 |
$1.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,682 |
14,484 |
$895K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
3,091 |
2,798 |
$578K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12,456 |
11,463 |
$322K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,122 |
13,739 |
$269K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18,036 |
16,699 |
$224K |
| 85027 |
|
26,235 |
23,275 |
$118K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,313 |
2,075 |
$112K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,884 |
1,716 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,795 |
1,691 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,760 |
2,591 |
$69K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
784 |
687 |
$65K |
| 87070 |
|
4,544 |
4,302 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
882 |
760 |
$45K |
| 87634 |
|
1,014 |
926 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
845 |
718 |
$43K |
| 86308 |
|
6,031 |
5,675 |
$33K |
| 96132 |
|
354 |
281 |
$25K |
| 90461 |
|
534 |
502 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
471 |
361 |
$22K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,394 |
2,124 |
$22K |
| 84702 |
|
2,100 |
1,835 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,075 |
1,820 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
283 |
224 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
257 |
230 |
$14K |
| 99462 |
|
285 |
195 |
$9K |
| 81003 |
|
3,166 |
2,779 |
$8K |
| 99460 |
|
157 |
133 |
$8K |
| 90686 |
|
611 |
564 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
444 |
402 |
$6K |
| 96138 |
|
290 |
238 |
$6K |
| 90670 |
|
649 |
526 |
$5K |
| 90734 |
|
110 |
70 |
$5K |
| 87420 |
|
358 |
324 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
67 |
64 |
$4K |
| 82948 |
|
1,076 |
970 |
$4K |
| 96101 |
|
70 |
58 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,563 |
1,364 |
$3K |
| 36416 |
|
1,041 |
960 |
$2K |
| 90619 |
|
45 |
27 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
90 |
84 |
$968.66 |
| 90680 |
|
263 |
197 |
$944.00 |
| 90633 |
|
176 |
142 |
$943.92 |
| 96103 |
|
70 |
57 |
$871.71 |
| 99464 |
|
14 |
13 |
$858.00 |
| 86318 |
|
60 |
56 |
$702.00 |
| 99173 |
|
263 |
233 |
$610.00 |
| 90688 |
|
55 |
50 |
$600.48 |
| 90677 |
|
102 |
75 |
$576.00 |
| 90715 |
|
58 |
27 |
$506.35 |
| 90698 |
|
161 |
98 |
$456.00 |
| 92551 |
|
177 |
156 |
$345.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
26 |
$314.00 |
| 96161 |
|
104 |
102 |
$296.94 |
| 90651 |
|
76 |
50 |
$280.00 |
| 90710 |
|
37 |
25 |
$192.00 |
| 90671 |
|
17 |
13 |
$104.00 |
| 90685 |
|
23 |
13 |
$96.00 |
| 90723 |
|
59 |
48 |
$88.00 |
| 90696 |
|
14 |
12 |
$88.00 |
| 90648 |
|
59 |
47 |
$88.00 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
37 |
$74.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
99 |
42 |
$54.00 |
| 90716 |
|
13 |
13 |
$32.00 |
| 90707 |
|
13 |
13 |
$32.00 |
| 99000 |
|
220 |
204 |
$0.00 |
| 99401 |
|
14 |
14 |
$0.00 |