| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,153 |
14,785 |
$479K |
| 99091 |
|
1,731 |
1,687 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,187 |
4,550 |
$163K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,948 |
2,750 |
$131K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,751 |
2,680 |
$125K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,420 |
2,280 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,299 |
2,992 |
$77K |
| 99223 |
Prolong inpt eval add15 m |
821 |
790 |
$69K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,232 |
2,983 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
533 |
505 |
$37K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
245 |
239 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
492 |
473 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,532 |
2,395 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
438 |
420 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,474 |
1,508 |
$31K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
106 |
104 |
$26K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
111 |
109 |
$25K |
| 98942 |
|
590 |
327 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
769 |
681 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
111 |
$8K |
| 90461 |
|
1,897 |
864 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
93 |
84 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
118 |
108 |
$7K |
| 11721 |
|
564 |
535 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
358 |
343 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
75 |
63 |
$5K |
| 81002 |
|
1,560 |
1,075 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
98 |
96 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,485 |
1,268 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
52 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
297 |
280 |
$2K |
| 80053 |
Comprehensive metabolic panel |
763 |
716 |
$2K |
| 99307 |
|
349 |
345 |
$2K |
| 95117 |
|
189 |
72 |
$1K |
| 80050 |
General health panel |
40 |
39 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
602 |
504 |
$1K |
| 87807 |
|
142 |
119 |
$1K |
| 80061 |
Lipid panel |
401 |
390 |
$1K |
| 99383 |
|
13 |
12 |
$1K |
| 76801 |
|
12 |
12 |
$803.15 |
| 11056 |
|
52 |
52 |
$717.09 |
| 84443 |
Thyroid stimulating hormone (TSH) |
411 |
391 |
$652.47 |
| 73630 |
|
67 |
46 |
$609.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
263 |
256 |
$547.67 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
307 |
289 |
$443.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
53 |
$432.90 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
104 |
104 |
$422.62 |
| 99442 |
|
13 |
12 |
$391.31 |
| 83721 |
|
387 |
373 |
$361.18 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
357 |
300 |
$270.35 |
| 85018 |
|
123 |
98 |
$199.00 |
| 90686 |
|
300 |
286 |
$195.51 |
| 85014 |
|
115 |
95 |
$183.08 |
| 92567 |
|
13 |
13 |
$163.85 |
| 81001 |
|
355 |
329 |
$154.84 |
| 99000 |
|
13 |
13 |
$109.34 |
| 87186 |
|
162 |
144 |
$101.78 |
| 87088 |
|
136 |
129 |
$95.20 |
| 99490 |
Ccm add 20min |
85 |
85 |
$78.72 |
| 82607 |
|
48 |
47 |
$76.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
39 |
35 |
$62.83 |
| 80076 |
|
46 |
45 |
$41.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$40.08 |
| 82947 |
|
13 |
12 |
$33.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
38 |
$22.50 |
| 83735 |
|
15 |
15 |
$16.89 |
| 84134 |
|
12 |
12 |
$12.26 |
| 84436 |
|
15 |
13 |
$11.54 |
| 3078F |
|
1,997 |
1,763 |
$0.02 |
| 3008F |
|
5,523 |
4,938 |
$0.02 |
| 3074F |
|
2,566 |
2,287 |
$0.02 |
| 1160F |
|
2,764 |
2,583 |
$0.00 |
| 1159F |
|
2,762 |
2,582 |
$0.00 |
| 90633 |
|
47 |
44 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
1,980 |
1,281 |
$0.00 |
| 90670 |
|
414 |
399 |
$0.00 |
| 90681 |
|
61 |
57 |
$0.00 |
| 99497 |
|
26 |
25 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90710 |
|
41 |
40 |
$0.00 |
| 3077F |
|
36 |
36 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
14 |
14 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90648 |
|
30 |
28 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,504 |
1,296 |
$0.00 |
| 1036F |
|
2,089 |
1,566 |
$0.00 |
| 90698 |
|
78 |
76 |
$0.00 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
1,868 |
1,199 |
$0.00 |
| 3079F |
|
251 |
240 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 1126F |
|
67 |
59 |
$0.00 |
| 1034F |
|
71 |
66 |
$0.00 |
| 3075F |
|
22 |
16 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
24 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 99305 |
|
12 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |