| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,431 |
14,514 |
$909K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
632 |
542 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,881 |
1,621 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,786 |
1,533 |
$136K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,170 |
7,372 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,444 |
1,193 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,248 |
1,094 |
$86K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,713 |
1,519 |
$61K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,803 |
1,651 |
$57K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
171 |
158 |
$43K |
| 92551 |
|
2,654 |
2,357 |
$40K |
| 87081 |
|
6,002 |
5,355 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,661 |
1,472 |
$27K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,460 |
1,206 |
$24K |
| 96127 |
|
1,558 |
1,437 |
$23K |
| 99173 |
|
2,258 |
1,977 |
$17K |
| 83655 |
|
1,372 |
1,174 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,526 |
1,254 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
3,746 |
3,108 |
$16K |
| 84439 |
|
1,723 |
1,398 |
$15K |
| 90670 |
|
744 |
644 |
$15K |
| 80061 |
Lipid panel |
1,515 |
1,216 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
616 |
521 |
$11K |
| 81003 |
|
5,056 |
4,257 |
$11K |
| 80050 |
General health panel |
205 |
173 |
$10K |
| 85018 |
|
4,128 |
3,622 |
$10K |
| 36416 |
|
2,274 |
2,082 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,573 |
1,291 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
707 |
604 |
$8K |
| 99000 |
|
315 |
291 |
$7K |
| 90677 |
|
136 |
119 |
$6K |
| 90734 |
|
225 |
158 |
$5K |
| 90686 |
|
402 |
301 |
$4K |
| 90700 |
|
282 |
253 |
$3K |
| 90619 |
|
191 |
170 |
$3K |
| 90710 |
|
57 |
43 |
$2K |
| 90648 |
|
171 |
143 |
$2K |
| 90715 |
|
124 |
99 |
$2K |
| 90744 |
|
120 |
116 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
191 |
147 |
$1K |
| 84481 |
|
100 |
69 |
$1K |
| 90633 |
|
86 |
76 |
$957.43 |
| 87428 |
|
15 |
15 |
$953.85 |
| 90696 |
|
46 |
43 |
$883.57 |
| 90716 |
|
43 |
41 |
$794.64 |
| 90698 |
|
48 |
38 |
$533.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$384.75 |
| 86580 |
|
95 |
79 |
$380.00 |
| 90621 |
|
17 |
14 |
$376.54 |
| 86800 |
|
29 |
16 |
$342.20 |
| 90651 |
|
30 |
30 |
$315.72 |
| 83525 |
|
31 |
26 |
$274.66 |
| 86376 |
|
27 |
15 |
$230.43 |
| 90707 |
|
26 |
24 |
$228.64 |
| 90713 |
|
13 |
13 |
$180.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$166.77 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$126.00 |
| 99051 |
|
33 |
29 |
$90.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
12 |
$19.04 |
| 1003F |
|
680 |
447 |
$0.00 |
| 99072 |
|
91 |
61 |
$0.00 |
| 1040F |
|
216 |
125 |
$0.00 |
| 1036F |
|
232 |
141 |
$0.00 |