| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,081 |
34,468 |
$1.12M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29,193 |
23,970 |
$465K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
10,352 |
9,304 |
$395K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,631 |
4,523 |
$382K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,639 |
4,473 |
$364K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,002 |
3,781 |
$330K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,552 |
2,392 |
$324K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,470 |
12,733 |
$298K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,289 |
3,009 |
$252K |
| 99050 |
|
12,242 |
10,059 |
$173K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,777 |
12,724 |
$121K |
| 99000 |
|
17,542 |
15,657 |
$119K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,076 |
6,533 |
$100K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,600 |
15,066 |
$71K |
| 99429 |
|
1,763 |
1,739 |
$58K |
| 92558 |
|
11,369 |
11,102 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,074 |
4,001 |
$41K |
| 99051 |
|
9,031 |
7,153 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,112 |
1,062 |
$30K |
| 81002 |
|
12,009 |
10,533 |
$24K |
| 0071A |
|
506 |
499 |
$20K |
| 90461 |
|
2,946 |
2,493 |
$19K |
| 0072A |
|
460 |
457 |
$18K |
| 99381 |
|
220 |
212 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
304 |
299 |
$15K |
| 80061 |
Lipid panel |
2,057 |
1,975 |
$14K |
| 87807 |
|
2,224 |
1,959 |
$14K |
| 0001A |
|
313 |
306 |
$12K |
| 90480 |
|
426 |
419 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,751 |
1,074 |
$11K |
| 0144A |
|
226 |
225 |
$9K |
| 0002A |
|
221 |
221 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
109 |
$9K |
| 0134A |
|
238 |
235 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
918 |
913 |
$7K |
| 96160 |
|
4,404 |
4,233 |
$7K |
| 0081A |
|
181 |
177 |
$7K |
| 92567 |
|
953 |
928 |
$7K |
| 0003A |
|
165 |
163 |
$6K |
| 0073A |
|
138 |
137 |
$5K |
| 86580 |
|
1,188 |
1,174 |
$5K |
| 82950 |
|
1,778 |
1,699 |
$4K |
| 0164A |
|
102 |
101 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,982 |
849 |
$4K |
| 0082A |
|
88 |
88 |
$4K |
| 97169 |
|
153 |
151 |
$3K |
| 97170 |
|
113 |
97 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 96380 |
|
26 |
24 |
$267.26 |
| 84030 |
|
86 |
83 |
$204.50 |
| 90686 |
|
1,261 |
1,245 |
$39.40 |
| 90658 |
|
4,366 |
4,295 |
$37.66 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
44 |
43 |
$32.50 |
| 94760 |
|
177 |
166 |
$10.09 |
| 90620 |
|
614 |
601 |
$0.13 |
| 90677 |
|
396 |
383 |
$0.07 |
| 90651 |
|
955 |
944 |
$0.03 |
| 90734 |
|
867 |
858 |
$0.02 |
| 90656 |
|
566 |
562 |
$0.02 |
| 90715 |
|
193 |
189 |
$0.01 |
| 90670 |
|
1,850 |
1,827 |
$0.01 |
| 91322 |
|
91 |
89 |
$0.01 |
| 90744 |
|
926 |
915 |
$0.01 |
| 90707 |
|
991 |
975 |
$0.00 |
| 99173 |
|
13,760 |
13,148 |
$0.00 |
| 90713 |
|
2,275 |
2,247 |
$0.00 |
| 90700 |
|
2,989 |
2,949 |
$0.00 |
| 91321 |
|
226 |
223 |
$0.00 |
| 90633 |
|
1,073 |
1,057 |
$0.00 |
| 91308 |
|
394 |
377 |
$0.00 |
| 91300 |
|
899 |
846 |
$0.00 |
| 90380 |
|
32 |
30 |
$0.00 |
| 91313 |
|
237 |
235 |
$0.00 |
| 90655 |
|
54 |
54 |
$0.00 |
| 91316 |
|
103 |
101 |
$0.00 |
| 90716 |
|
993 |
977 |
$0.00 |
| 90647 |
|
2,279 |
2,247 |
$0.00 |
| 90680 |
|
1,339 |
1,320 |
$0.00 |
| 91314 |
|
224 |
224 |
$0.00 |
| 91307 |
|
1,256 |
1,186 |
$0.00 |
| 90381 |
|
58 |
55 |
$0.00 |