| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,519 |
29,633 |
$1.09M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25,117 |
23,055 |
$872K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,563 |
27,893 |
$812K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43,952 |
20,594 |
$520K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,423 |
7,089 |
$363K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21,797 |
20,241 |
$259K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
5,585 |
5,316 |
$201K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,843 |
9,889 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,614 |
5,195 |
$97K |
| 99444 |
|
1,396 |
359 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,919 |
1,705 |
$62K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,540 |
8,972 |
$41K |
| 87807 |
|
2,256 |
2,098 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
909 |
864 |
$19K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,948 |
1,856 |
$17K |
| 11721 |
|
3,097 |
3,067 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
217 |
181 |
$13K |
| 81003 |
|
9,417 |
8,835 |
$12K |
| 99051 |
|
915 |
854 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,565 |
2,456 |
$11K |
| 99441 |
|
449 |
416 |
$9K |
| 80061 |
Lipid panel |
2,063 |
1,980 |
$8K |
| 99421 |
|
3,882 |
1,015 |
$8K |
| 80076 |
|
2,427 |
2,322 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,082 |
3,791 |
$6K |
| 93000 |
|
625 |
592 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
730 |
693 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
751 |
714 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
72 |
$4K |
| 73610 |
|
157 |
147 |
$3K |
| 73562 |
|
96 |
85 |
$3K |
| 81025 |
|
397 |
380 |
$2K |
| 72100 |
|
92 |
88 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,648 |
1,478 |
$2K |
| 97169 |
|
98 |
94 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
33 |
$2K |
| 99000 |
|
387 |
366 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
170 |
121 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,764 |
2,521 |
$1K |
| 90734 |
|
81 |
80 |
$1K |
| 73630 |
|
51 |
40 |
$943.47 |
| 82947 |
|
673 |
633 |
$924.90 |
| 99384 |
|
26 |
25 |
$902.63 |
| 90686 |
|
158 |
151 |
$829.18 |
| 86318 |
|
44 |
42 |
$581.59 |
| 86580 |
|
74 |
72 |
$501.87 |
| 99490 |
Ccm add 20min |
427 |
427 |
$474.69 |
| 0011A |
|
18 |
18 |
$377.45 |
| 69210 |
|
13 |
13 |
$371.64 |
| 0012A |
|
13 |
12 |
$360.00 |
| 74018 |
|
14 |
13 |
$289.56 |
| 90715 |
|
46 |
46 |
$206.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$160.61 |
| 51798 |
|
14 |
12 |
$108.19 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
75 |
70 |
$25.47 |
| 82948 |
|
41 |
40 |
$23.01 |
| 36415 |
Collection of venous blood by venipuncture |
1,894 |
1,793 |
$3.00 |
| 91301 |
|
55 |
54 |
$0.01 |
| 1090F |
|
41 |
41 |
$0.00 |
| 3288F |
|
91 |
91 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
108 |
108 |
$0.00 |
| 90662 |
|
39 |
39 |
$0.00 |
| 90649 |
|
17 |
17 |
$0.00 |
| 1170F |
|
637 |
566 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
128 |
128 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
86 |
86 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
25 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |
| 1036F |
|
15 |
15 |
$0.00 |