| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,661 |
12,130 |
$505K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,198 |
5,256 |
$263K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,048 |
1,560 |
$170K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
745 |
664 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,872 |
1,736 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,467 |
3,779 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
498 |
455 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,547 |
1,433 |
$20K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
157 |
150 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
211 |
$13K |
| 90686 |
|
1,365 |
1,247 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,793 |
1,505 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,064 |
1,812 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
194 |
180 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,953 |
1,426 |
$10K |
| 81002 |
|
4,203 |
3,747 |
$8K |
| 92551 |
|
983 |
926 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
90 |
81 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
276 |
246 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
359 |
176 |
$4K |
| 0011A |
|
316 |
260 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
54 |
$4K |
| 0012A |
|
275 |
229 |
$4K |
| 85018 |
|
1,428 |
1,316 |
$3K |
| 80053 |
Comprehensive metabolic panel |
346 |
307 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
615 |
526 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,458 |
1,215 |
$2K |
| 99173 |
|
713 |
665 |
$1K |
| 3044F |
|
1,046 |
853 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
100 |
100 |
$968.89 |
| 80061 |
Lipid panel |
141 |
122 |
$865.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
27 |
$437.28 |
| 36415 |
Collection of venous blood by venipuncture |
451 |
366 |
$380.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
837 |
785 |
$355.24 |
| 90656 |
|
41 |
34 |
$263.29 |
| 81025 |
|
42 |
39 |
$218.33 |
| 99442 |
|
18 |
13 |
$208.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34 |
25 |
$160.00 |
| 3078F |
|
1,870 |
1,443 |
$111.00 |
| 3074F |
|
1,566 |
1,225 |
$96.75 |
| 3075F |
|
238 |
195 |
$20.00 |
| 3079F |
|
49 |
46 |
$4.00 |
| 1125F |
|
296 |
247 |
$0.25 |
| 90633 |
|
27 |
26 |
$0.09 |
| 90651 |
|
12 |
12 |
$0.01 |
| 90461 |
|
94 |
75 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
20 |
20 |
$0.00 |
| 90670 |
|
15 |
12 |
$0.00 |
| 2028F |
|
16 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
159 |
128 |
$0.00 |
| 1126F |
|
400 |
322 |
$0.00 |
| 36416 |
|
156 |
138 |
$0.00 |
| 91301 |
|
374 |
342 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
54 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
20 |
20 |
$0.00 |
| 1101F |
|
17 |
17 |
$0.00 |
| 1170F |
|
17 |
17 |
$0.00 |