| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,932 |
7,139 |
$586K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,723 |
1,246 |
$493K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,710 |
1,751 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,291 |
2,756 |
$134K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,023 |
1,468 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,095 |
2,563 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,512 |
3,071 |
$46K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
208 |
132 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,725 |
4,383 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,644 |
1,485 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,968 |
2,270 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
516 |
447 |
$29K |
| 80061 |
Lipid panel |
2,716 |
2,166 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
403 |
363 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
444 |
359 |
$23K |
| 54450 |
|
247 |
198 |
$13K |
| 99051 |
|
918 |
753 |
$12K |
| 92551 |
|
1,620 |
1,401 |
$11K |
| 69200 |
|
171 |
131 |
$11K |
| 99188 |
|
1,056 |
793 |
$9K |
| 82962 |
|
3,377 |
2,785 |
$7K |
| 99215 |
Prolong outpt/office vis |
103 |
74 |
$7K |
| 86308 |
|
1,321 |
968 |
$5K |
| 81002 |
|
2,391 |
1,913 |
$5K |
| 92567 |
|
449 |
369 |
$5K |
| 87634 |
|
76 |
64 |
$4K |
| J0720 |
Injection, chloramphenicol sodium succinate, up to 1 gm |
296 |
127 |
$3K |
| 87581 |
|
128 |
75 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
128 |
75 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
37 |
$2K |
| 83655 |
|
216 |
190 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
296 |
237 |
$2K |
| 99173 |
|
851 |
723 |
$1K |
| 69210 |
|
31 |
26 |
$721.93 |
| 90474 |
|
66 |
59 |
$538.67 |
| 81001 |
|
106 |
76 |
$221.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
381 |
326 |
$212.55 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
16 |
$151.50 |
| 82948 |
|
15 |
12 |
$28.44 |
| 94760 |
|
897 |
452 |
$14.51 |
| 90716 |
|
84 |
83 |
$0.00 |
| 90686 |
|
1,173 |
1,083 |
$0.00 |
| 99000 |
|
92 |
53 |
$0.00 |
| 90680 |
|
120 |
110 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90700 |
|
782 |
717 |
$0.00 |
| 90713 |
|
491 |
445 |
$0.00 |
| 90685 |
|
163 |
145 |
$0.00 |
| 90670 |
|
491 |
445 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |
| 90648 |
|
413 |
389 |
$0.00 |
| 90707 |
|
99 |
96 |
$0.00 |
| 90633 |
|
162 |
159 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 94150 |
|
23 |
13 |
$0.00 |