| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,089 |
9,196 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,668 |
8,978 |
$350K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,751 |
8,013 |
$341K |
| 99173 |
|
7,697 |
7,433 |
$329K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,075 |
3,945 |
$304K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,819 |
3,670 |
$291K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,508 |
3,345 |
$252K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,825 |
2,727 |
$229K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,391 |
1,332 |
$162K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,458 |
2,333 |
$121K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,932 |
12,263 |
$112K |
| 99408 |
|
4,574 |
4,442 |
$109K |
| 92552 |
|
7,805 |
7,523 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,327 |
2,230 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,661 |
3,412 |
$56K |
| 87070 |
|
5,196 |
4,930 |
$51K |
| 99429 |
|
637 |
620 |
$42K |
| 87634 |
|
534 |
502 |
$40K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
122 |
106 |
$38K |
| D1206 |
Topical application of fluoride varnish |
1,599 |
1,565 |
$19K |
| 81003 |
|
8,820 |
8,455 |
$18K |
| 36416 |
|
12,922 |
12,238 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
891 |
438 |
$14K |
| 99188 |
|
757 |
739 |
$11K |
| 99484 |
|
235 |
225 |
$8K |
| 95117 |
|
675 |
282 |
$8K |
| 99174 |
|
806 |
780 |
$8K |
| 90648 |
|
1,825 |
1,789 |
$8K |
| 90670 |
|
2,696 |
2,639 |
$7K |
| 0001A |
|
184 |
178 |
$7K |
| 83655 |
|
538 |
519 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
402 |
377 |
$6K |
| 90620 |
|
387 |
375 |
$5K |
| 90651 |
|
1,190 |
1,155 |
$5K |
| 90723 |
|
1,366 |
1,337 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
123 |
106 |
$5K |
| 90686 |
|
2,306 |
2,236 |
$4K |
| 0002A |
|
111 |
109 |
$4K |
| 97803 |
|
911 |
906 |
$4K |
| 92567 |
|
249 |
234 |
$4K |
| 87581 |
|
122 |
106 |
$3K |
| 90633 |
|
1,054 |
1,029 |
$3K |
| 90734 |
|
916 |
888 |
$3K |
| 90681 |
|
638 |
623 |
$3K |
| 80305 |
|
139 |
132 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
246 |
106 |
$2K |
| 96127 |
|
473 |
469 |
$2K |
| 0011A |
|
43 |
43 |
$2K |
| 0071A |
|
41 |
41 |
$2K |
| 90710 |
|
795 |
775 |
$2K |
| 0012A |
|
37 |
37 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
28 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
133 |
119 |
$1K |
| 90715 |
|
294 |
287 |
$1K |
| 90688 |
|
105 |
98 |
$1K |
| 94060 |
|
34 |
26 |
$997.86 |
| 99460 |
|
13 |
12 |
$981.68 |
| 87807 |
|
62 |
58 |
$927.64 |
| 95115 |
|
85 |
37 |
$872.94 |
| 90700 |
|
81 |
80 |
$607.29 |
| 0072A |
|
12 |
12 |
$492.00 |
| 82977 |
|
30 |
28 |
$245.78 |
| 82150 |
|
30 |
28 |
$221.19 |
| 86308 |
|
29 |
28 |
$215.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
15 |
$196.35 |
| 84550 |
|
30 |
28 |
$154.24 |
| 84460 |
|
30 |
28 |
$154.18 |
| 84075 |
|
30 |
28 |
$150.65 |
| 84450 |
|
30 |
28 |
$150.54 |
| 82310 |
|
30 |
28 |
$150.08 |
| 82565 |
|
30 |
28 |
$149.04 |
| 82040 |
|
30 |
28 |
$143.82 |
| 82247 |
|
28 |
27 |
$141.07 |
| 90696 |
|
93 |
92 |
$128.94 |
| 82947 |
|
30 |
28 |
$116.14 |
| 84520 |
|
30 |
28 |
$114.95 |
| 84155 |
|
30 |
28 |
$106.67 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
202 |
176 |
$84.93 |
| 80051 |
|
13 |
13 |
$68.64 |
| 94760 |
|
146 |
131 |
$43.28 |
| 3008F |
|
8,491 |
8,259 |
$31.31 |
| 2014F |
|
4,491 |
4,377 |
$3.82 |
| 90697 |
|
439 |
425 |
$0.68 |
| 90647 |
|
97 |
92 |
$0.18 |
| 91300 |
|
369 |
350 |
$0.13 |
| 90707 |
|
15 |
14 |
$0.02 |
| 90716 |
|
15 |
14 |
$0.02 |
| 90749 |
|
45 |
43 |
$0.00 |
| 91301 |
|
83 |
83 |
$0.00 |
| 91307 |
|
85 |
82 |
$0.00 |