| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61,255 |
52,947 |
$2.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,061 |
17,685 |
$959K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,464 |
7,157 |
$540K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,052 |
6,992 |
$524K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
11,235 |
6,557 |
$508K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41,059 |
15,494 |
$475K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,508 |
9,938 |
$427K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26,300 |
24,940 |
$344K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
10,220 |
9,628 |
$288K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,450 |
4,346 |
$267K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18,089 |
8,761 |
$240K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,855 |
2,811 |
$219K |
| 96112 |
|
1,658 |
1,649 |
$166K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18,937 |
18,698 |
$148K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,202 |
1,172 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,232 |
1,217 |
$96K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,863 |
12,396 |
$79K |
| 87807 |
|
6,603 |
6,173 |
$69K |
| 87428 |
|
1,003 |
977 |
$68K |
| 99381 |
|
734 |
726 |
$58K |
| 99383 |
|
465 |
462 |
$41K |
| 99000 |
|
5,401 |
4,970 |
$35K |
| 83655 |
|
3,248 |
3,230 |
$32K |
| 92558 |
|
7,529 |
7,359 |
$31K |
| 90461 |
|
3,597 |
3,123 |
$23K |
| 80061 |
Lipid panel |
2,181 |
2,099 |
$22K |
| CP002 |
|
2,191 |
1,732 |
$21K |
| 99382 |
|
212 |
212 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,625 |
1,178 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
682 |
630 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
113 |
113 |
$14K |
| 99384 |
|
127 |
125 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
365 |
347 |
$10K |
| 87081 |
|
1,869 |
1,693 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
634 |
568 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
99 |
88 |
$4K |
| 74018 |
|
123 |
114 |
$3K |
| 81003 |
|
1,223 |
1,159 |
$2K |
| 99460 |
|
32 |
25 |
$2K |
| 92587 |
|
487 |
486 |
$1K |
| 80053 |
Comprehensive metabolic panel |
178 |
165 |
$1K |
| A7037 |
Tubing used with positive airway pressure device |
659 |
591 |
$1K |
| 82247 |
|
307 |
222 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
543 |
353 |
$865.00 |
| 73610 |
|
25 |
25 |
$784.99 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$656.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$443.31 |
| 99173 |
|
9,153 |
8,958 |
$177.90 |
| 94664 |
|
666 |
571 |
$169.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
143 |
128 |
$155.59 |
| 90670 |
|
3,697 |
3,630 |
$96.25 |
| 90686 |
|
1,773 |
1,739 |
$93.05 |
| 90633 |
|
3,089 |
3,055 |
$81.92 |
| 90648 |
|
6,369 |
6,309 |
$74.20 |
| 90700 |
|
2,468 |
2,432 |
$70.70 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
504 |
481 |
$68.36 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
634 |
611 |
$61.60 |
| 36416 |
|
2,630 |
2,351 |
$32.04 |
| 99051 |
|
730 |
675 |
$29.40 |
| 90677 |
|
2,745 |
2,742 |
$23.79 |
| 96127 |
|
1,711 |
1,685 |
$23.41 |
| 36415 |
Collection of venous blood by venipuncture |
1,217 |
1,104 |
$21.53 |
| 90656 |
|
501 |
498 |
$20.94 |
| 90651 |
|
835 |
809 |
$0.22 |
| 90620 |
|
88 |
84 |
$0.02 |
| 90734 |
|
719 |
689 |
$0.01 |
| 90716 |
|
1,473 |
1,467 |
$0.00 |
| 90680 |
|
4,247 |
4,212 |
$0.00 |
| 90723 |
|
4,816 |
4,768 |
$0.00 |
| 90657 |
|
109 |
109 |
$0.00 |
| 90713 |
|
791 |
786 |
$0.00 |
| 90707 |
|
1,468 |
1,464 |
$0.00 |
| 90710 |
|
447 |
445 |
$0.00 |
| 90715 |
|
346 |
330 |
$0.00 |