| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,540 |
12,606 |
$610K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,920 |
5,880 |
$438K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,163 |
7,802 |
$377K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,198 |
4,384 |
$319K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,489 |
3,641 |
$281K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,081 |
8,340 |
$249K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,028 |
2,543 |
$168K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,459 |
1,890 |
$165K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,398 |
1,805 |
$71K |
| 96160 |
|
3,268 |
2,426 |
$32K |
| 99174 |
|
3,110 |
2,620 |
$30K |
| 92551 |
|
4,301 |
3,186 |
$27K |
| 96127 |
|
6,944 |
5,399 |
$26K |
| 99173 |
|
5,452 |
4,279 |
$25K |
| 96161 |
|
2,175 |
1,663 |
$23K |
| 85018 |
|
9,964 |
7,850 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,877 |
1,369 |
$20K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,859 |
1,157 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
340 |
248 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
344 |
302 |
$15K |
| 36416 |
|
10,243 |
8,055 |
$14K |
| 90651 |
|
565 |
387 |
$13K |
| 83655 |
|
1,170 |
972 |
$12K |
| 99408 |
|
3,106 |
2,225 |
$12K |
| 99381 |
|
191 |
158 |
$11K |
| 90686 |
|
2,000 |
1,572 |
$8K |
| 0002A |
|
165 |
107 |
$6K |
| 0001A |
|
183 |
115 |
$6K |
| 90716 |
|
1,170 |
901 |
$5K |
| 90461 |
|
5,451 |
4,268 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
524 |
415 |
$5K |
| 90677 |
|
370 |
286 |
$5K |
| 99401 |
|
451 |
354 |
$4K |
| 0071A |
|
109 |
75 |
$4K |
| 90670 |
|
2,678 |
2,125 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
59 |
42 |
$4K |
| 90734 |
|
449 |
293 |
$3K |
| 0072A |
|
81 |
70 |
$3K |
| 90707 |
|
1,141 |
880 |
$3K |
| 3008F |
|
9,607 |
7,535 |
$2K |
| 0012A |
|
49 |
41 |
$2K |
| 99383 |
|
33 |
24 |
$2K |
| 0011A |
|
51 |
27 |
$2K |
| 90633 |
|
1,137 |
1,011 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
24 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
921 |
527 |
$972.14 |
| 90715 |
|
193 |
122 |
$944.17 |
| 90680 |
|
1,878 |
1,497 |
$845.77 |
| 86328 |
|
25 |
22 |
$746.83 |
| 90723 |
|
2,312 |
1,814 |
$739.50 |
| 0003A |
|
21 |
12 |
$680.00 |
| 90696 |
|
258 |
171 |
$664.93 |
| 80061 |
Lipid panel |
316 |
148 |
$510.51 |
| 90632 |
|
461 |
275 |
$470.39 |
| 81002 |
|
197 |
154 |
$422.00 |
| 90672 |
|
51 |
36 |
$380.04 |
| 90620 |
|
65 |
30 |
$275.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
199 |
89 |
$262.41 |
| 80053 |
Comprehensive metabolic panel |
271 |
117 |
$224.58 |
| 90647 |
|
1,426 |
1,266 |
$104.41 |
| 90648 |
|
1,315 |
922 |
$102.26 |
| 90658 |
|
12 |
12 |
$52.72 |
| 87081 |
|
25 |
16 |
$44.26 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
81 |
45 |
$38.42 |
| 84443 |
Thyroid stimulating hormone (TSH) |
39 |
24 |
$36.89 |
| 90656 |
|
22 |
20 |
$26.40 |
| 90700 |
|
169 |
159 |
$16.15 |
| 91300 |
|
479 |
284 |
$0.73 |
| 91307 |
|
201 |
145 |
$0.23 |
| 91301 |
|
119 |
83 |
$0.14 |
| 90685 |
|
30 |
27 |
$0.00 |
| 99188 |
|
16 |
15 |
$0.00 |
| 90710 |
|
14 |
13 |
$0.00 |
| 90733 |
|
70 |
54 |
$0.00 |