| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,585 |
4,084 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,312 |
5,490 |
$253K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,777 |
4,751 |
$235K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,901 |
5,525 |
$216K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,403 |
2,072 |
$167K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,343 |
1,841 |
$142K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,355 |
1,177 |
$138K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,251 |
3,559 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,577 |
1,419 |
$110K |
| 96160 |
|
4,512 |
3,923 |
$99K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,967 |
2,527 |
$94K |
| 95930 |
|
2,259 |
1,870 |
$75K |
| 92552 |
|
4,150 |
3,522 |
$64K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,505 |
5,501 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
619 |
556 |
$47K |
| 96161 |
|
2,156 |
1,619 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
813 |
600 |
$36K |
| 99173 |
|
3,330 |
2,842 |
$21K |
| 99383 |
|
307 |
236 |
$21K |
| 99382 |
|
342 |
245 |
$19K |
| 36416 |
|
8,552 |
7,135 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,537 |
612 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,123 |
913 |
$12K |
| 99401 |
|
494 |
452 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
670 |
597 |
$11K |
| 99384 |
|
136 |
119 |
$11K |
| 81003 |
|
4,869 |
4,063 |
$9K |
| 99381 |
|
168 |
119 |
$8K |
| 96127 |
|
2,058 |
1,752 |
$8K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
466 |
340 |
$7K |
| 85018 |
|
2,808 |
2,435 |
$6K |
| 80061 |
Lipid panel |
300 |
259 |
$6K |
| 87807 |
|
382 |
347 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
123 |
88 |
$3K |
| 90651 |
|
456 |
415 |
$3K |
| 83655 |
|
176 |
140 |
$2K |
| 90461 |
|
3,112 |
2,494 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
29 |
$2K |
| A4258 |
Spring-powered device for lancet, each |
8,572 |
7,152 |
$2K |
| 90671 |
|
1,165 |
917 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
24 |
12 |
$620.70 |
| 90734 |
|
189 |
165 |
$350.03 |
| 90710 |
|
127 |
113 |
$322.14 |
| 90620 |
|
45 |
43 |
$275.08 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
101 |
$260.67 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
1,734 |
1,398 |
$236.06 |
| 94760 |
|
1,576 |
1,393 |
$229.11 |
| 97802 |
|
37 |
31 |
$200.26 |
| 90633 |
|
802 |
655 |
$136.81 |
| 90715 |
|
72 |
61 |
$128.03 |
| 90707 |
|
130 |
100 |
$110.07 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
1,737 |
1,400 |
$107.98 |
| 90656 |
|
111 |
105 |
$104.44 |
| 90696 |
|
115 |
103 |
$74.62 |
| 90647 |
|
490 |
385 |
$71.77 |
| 90686 |
|
470 |
401 |
$38.77 |
| 94761 |
|
31 |
14 |
$30.30 |
| 90744 |
|
418 |
323 |
$26.71 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
4,394 |
3,649 |
$10.00 |
| 90677 |
|
190 |
155 |
$0.33 |
| 90680 |
|
1,017 |
794 |
$0.07 |
| 90698 |
|
761 |
595 |
$0.04 |
| 90670 |
|
473 |
361 |
$0.03 |
| 90723 |
|
182 |
146 |
$0.01 |
| 99000 |
|
1,163 |
960 |
$0.00 |
| 90716 |
|
90 |
77 |
$0.00 |
| 90660 |
|
83 |
46 |
$0.00 |
| 90672 |
|
20 |
15 |
$0.00 |
| 90700 |
|
150 |
115 |
$0.00 |
| 90648 |
|
16 |
15 |
$0.00 |