| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,272 |
18,572 |
$1.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,810 |
18,233 |
$1.29M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
3,216 |
2,493 |
$1.01M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
6,750 |
5,610 |
$490K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,308 |
14,153 |
$437K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18,906 |
13,480 |
$387K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,736 |
5,133 |
$359K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,551 |
5,198 |
$345K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,678 |
6,185 |
$293K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,879 |
3,314 |
$292K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,930 |
3,634 |
$264K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23,126 |
16,610 |
$244K |
| 94667 |
|
17,256 |
10,024 |
$230K |
| 94010 |
|
8,827 |
6,507 |
$186K |
| 17110 |
|
2,721 |
2,450 |
$182K |
| 87634 |
|
2,856 |
2,354 |
$153K |
| 94664 |
|
13,707 |
9,707 |
$126K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,951 |
6,372 |
$91K |
| 94016 |
|
5,120 |
4,626 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,766 |
4,484 |
$83K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,015 |
2,004 |
$80K |
| 92551 |
|
10,192 |
9,458 |
$75K |
| 87807 |
|
5,719 |
4,115 |
$62K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,520 |
1,184 |
$60K |
| 99215 |
Prolong outpt/office vis |
608 |
523 |
$47K |
| 80305 |
|
5,031 |
4,113 |
$43K |
| 99188 |
|
1,576 |
1,359 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
196 |
192 |
$28K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,494 |
1,686 |
$21K |
| 92567 |
|
1,742 |
1,537 |
$20K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
259 |
246 |
$19K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
325 |
278 |
$18K |
| 99173 |
|
8,375 |
7,834 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
354 |
313 |
$10K |
| 69210 |
|
370 |
322 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
128 |
119 |
$8K |
| 81025 |
|
884 |
724 |
$5K |
| 90473 |
|
420 |
408 |
$4K |
| 81002 |
|
2,370 |
1,950 |
$4K |
| 83655 |
|
235 |
202 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
331 |
295 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
133 |
120 |
$2K |
| 0001A |
|
53 |
43 |
$2K |
| 86328 |
|
43 |
28 |
$2K |
| 0002A |
|
41 |
38 |
$2K |
| 86318 |
|
136 |
127 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 0071A |
|
34 |
32 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 0072A |
|
16 |
16 |
$663.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
325 |
249 |
$650.20 |
| 86308 |
|
139 |
123 |
$621.89 |
| 85014 |
|
255 |
224 |
$538.11 |
| 99464 |
|
16 |
14 |
$532.17 |
| 90734 |
|
560 |
511 |
$139.26 |
| 90656 |
|
101 |
85 |
$133.52 |
| 82570 |
|
31 |
25 |
$103.00 |
| 90620 |
|
12 |
12 |
$75.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$73.79 |
| 90671 |
|
157 |
146 |
$71.34 |
| 82044 |
|
32 |
25 |
$66.66 |
| 90686 |
|
1,210 |
1,125 |
$19.58 |
| 90681 |
|
348 |
334 |
$2.77 |
| 90633 |
|
886 |
806 |
$0.20 |
| 90651 |
|
300 |
276 |
$0.03 |
| 90744 |
|
654 |
606 |
$0.00 |
| 90716 |
|
634 |
575 |
$0.00 |
| 91307 |
|
83 |
72 |
$0.00 |
| 90648 |
|
1,762 |
1,662 |
$0.00 |
| 90700 |
|
2,458 |
2,295 |
$0.00 |
| 90670 |
|
1,460 |
1,372 |
$0.00 |
| 90713 |
|
2,017 |
1,818 |
$0.00 |
| 90715 |
|
146 |
139 |
$0.00 |
| 90707 |
|
661 |
599 |
$0.00 |
| 91300 |
|
105 |
90 |
$0.00 |