| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,895 |
38,407 |
$2.47M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,537 |
7,930 |
$686K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,120 |
16,908 |
$545K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,095 |
6,514 |
$542K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,920 |
4,329 |
$374K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,520 |
3,704 |
$335K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,966 |
7,191 |
$234K |
| D0145 |
Oral evaluation for a patient under three years of age |
9,869 |
8,087 |
$204K |
| D1206 |
Topical application of fluoride varnish |
9,984 |
8,351 |
$163K |
| 92551 |
|
18,740 |
15,440 |
$125K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,403 |
4,066 |
$96K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,484 |
10,578 |
$76K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,023 |
4,480 |
$55K |
| 99381 |
|
776 |
597 |
$55K |
| S9470 |
Nutritional counseling, dietitian visit |
10,137 |
8,154 |
$50K |
| 99401 |
|
4,768 |
3,775 |
$47K |
| 92567 |
|
3,345 |
2,742 |
$33K |
| 90461 |
|
4,614 |
3,962 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
794 |
542 |
$24K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
556 |
486 |
$23K |
| 96127 |
|
9,230 |
7,144 |
$23K |
| 99173 |
|
18,444 |
14,785 |
$15K |
| 96160 |
|
8,608 |
7,103 |
$9K |
| 99441 |
|
226 |
205 |
$7K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
457 |
380 |
$6K |
| 0001A |
|
201 |
181 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
215 |
166 |
$6K |
| 0002A |
|
150 |
137 |
$5K |
| 0071A |
|
178 |
146 |
$4K |
| 85018 |
|
4,117 |
3,300 |
$4K |
| 94664 |
|
657 |
483 |
$4K |
| 99383 |
|
49 |
37 |
$4K |
| 0072A |
|
122 |
103 |
$3K |
| 87807 |
|
554 |
318 |
$3K |
| 99384 |
|
48 |
30 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
334 |
235 |
$3K |
| 90651 |
|
1,856 |
1,588 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
818 |
608 |
$2K |
| 90677 |
|
762 |
598 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
118 |
82 |
$819.89 |
| 90658 |
|
2,104 |
1,656 |
$617.43 |
| 96161 |
|
324 |
268 |
$554.77 |
| 81000 |
|
309 |
218 |
$347.56 |
| 90480 |
|
15 |
14 |
$311.74 |
| 90670 |
|
5,049 |
4,548 |
$230.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
77 |
$186.36 |
| 90473 |
|
13 |
13 |
$174.33 |
| 94760 |
|
704 |
521 |
$82.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
96 |
82 |
$31.18 |
| 90686 |
|
1,902 |
1,477 |
$19.04 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
7,204 |
6,146 |
$4.00 |
| 90633 |
|
2,879 |
2,338 |
$0.00 |
| 99408 |
|
1,230 |
976 |
$0.00 |
| 90734 |
|
1,191 |
960 |
$0.00 |
| 90700 |
|
372 |
289 |
$0.00 |
| 90681 |
|
211 |
202 |
$0.00 |
| 90707 |
|
610 |
505 |
$0.00 |
| 90655 |
|
209 |
190 |
$0.00 |
| 91300 |
|
346 |
293 |
$0.00 |
| 90715 |
|
544 |
474 |
$0.00 |
| 90710 |
|
452 |
263 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90716 |
|
621 |
518 |
$0.00 |
| 90723 |
|
3,131 |
2,849 |
$0.00 |
| 90647 |
|
3,344 |
2,906 |
$0.00 |
| 90680 |
|
2,868 |
2,519 |
$0.00 |
| 90696 |
|
478 |
289 |
$0.00 |
| 90619 |
|
100 |
91 |
$0.00 |
| 90697 |
|
996 |
790 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
660 |
570 |
$0.00 |
| 90620 |
|
129 |
65 |
$0.00 |
| 91307 |
|
315 |
230 |
$0.00 |
| 3008F |
|
19 |
19 |
$0.00 |
| 3352F |
|
14 |
14 |
$0.00 |