| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,458 |
19,588 |
$1.08M |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
23,141 |
21,947 |
$936K |
| X5622 |
|
8,024 |
7,486 |
$434K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,547 |
5,096 |
$356K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,524 |
4,321 |
$271K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,763 |
3,630 |
$203K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,569 |
2,396 |
$136K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,297 |
10,680 |
$127K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,172 |
2,104 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,593 |
1,518 |
$95K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,560 |
2,485 |
$85K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,377 |
3,192 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,859 |
1,787 |
$76K |
| 92551 |
|
11,413 |
10,912 |
$54K |
| 99000 |
|
3,093 |
2,884 |
$45K |
| 99188 |
|
11,476 |
11,002 |
$44K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,404 |
3,220 |
$44K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
448 |
438 |
$40K |
| 96127 |
|
9,359 |
8,631 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
849 |
810 |
$29K |
| 90461 |
|
1,070 |
1,034 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,446 |
3,291 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,661 |
2,434 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,535 |
1,444 |
$14K |
| 99173 |
|
11,159 |
10,685 |
$11K |
| 36416 |
|
1,643 |
1,526 |
$5K |
| 87081 |
|
1,098 |
1,035 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,891 |
1,723 |
$4K |
| 90651 |
|
429 |
414 |
$2K |
| 83718 |
|
292 |
281 |
$2K |
| 90686 |
|
5,667 |
5,479 |
$2K |
| 90473 |
|
87 |
83 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
43 |
$1K |
| 90670 |
|
1,835 |
1,751 |
$1K |
| 85027 |
|
174 |
168 |
$1K |
| 90480 |
|
29 |
28 |
$953.96 |
| 82465 |
|
292 |
281 |
$890.55 |
| 0002A |
|
13 |
13 |
$529.49 |
| 0071A |
|
23 |
12 |
$488.76 |
| 96161 |
|
567 |
512 |
$373.27 |
| 90734 |
|
211 |
204 |
$267.89 |
| 90723 |
|
854 |
819 |
$244.32 |
| 0001A |
|
17 |
17 |
$222.19 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$196.98 |
| 91321 |
|
16 |
15 |
$157.15 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$156.72 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$125.04 |
| 90647 |
|
982 |
938 |
$75.36 |
| 90656 |
|
261 |
259 |
$62.58 |
| 90633 |
|
798 |
761 |
$33.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
16 |
$15.18 |
| 81003 |
|
18 |
15 |
$14.15 |
| 90696 |
|
25 |
24 |
$0.00 |
| 90716 |
|
28 |
26 |
$0.00 |
| 96160 |
|
6,264 |
5,969 |
$0.00 |
| 90681 |
|
196 |
187 |
$0.00 |
| 90715 |
|
75 |
71 |
$0.00 |
| 90672 |
|
15 |
14 |
$0.00 |
| 90671 |
|
25 |
25 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |