| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,113 |
29,029 |
$1.46M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
4,992 |
3,542 |
$1.39M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
2,084 |
1,571 |
$626K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,937 |
6,104 |
$418K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,430 |
4,849 |
$312K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,185 |
4,650 |
$312K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,183 |
9,866 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,728 |
3,226 |
$226K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,296 |
2,866 |
$211K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,521 |
11,723 |
$167K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,401 |
8,510 |
$155K |
| 92551 |
|
10,237 |
9,189 |
$72K |
| 87428 |
|
1,845 |
1,529 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,349 |
3,322 |
$41K |
| 85018 |
|
14,986 |
12,535 |
$27K |
| 99188 |
|
1,776 |
1,287 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,393 |
2,004 |
$18K |
| 81003 |
|
11,962 |
9,550 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
375 |
321 |
$17K |
| 99173 |
|
10,688 |
9,447 |
$16K |
| 90473 |
|
1,655 |
1,588 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,728 |
940 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
296 |
256 |
$8K |
| 99460 |
|
222 |
164 |
$7K |
| 87430 |
|
649 |
549 |
$7K |
| 99462 |
|
213 |
131 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
422 |
361 |
$4K |
| 87807 |
|
559 |
385 |
$3K |
| 92587 |
|
136 |
126 |
$3K |
| 99381 |
|
31 |
27 |
$2K |
| 87420 |
|
177 |
154 |
$2K |
| 92651 |
|
23 |
18 |
$1K |
| 90474 |
|
157 |
122 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
67 |
$931.68 |
| 99050 |
|
79 |
70 |
$927.80 |
| 81025 |
|
195 |
158 |
$902.38 |
| 96160 |
|
1,065 |
843 |
$631.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$564.63 |
| 94760 |
|
3,927 |
3,458 |
$464.16 |
| 99499 |
|
15 |
13 |
$105.00 |
| 97803 |
|
179 |
136 |
$80.73 |
| 99401 |
|
37 |
25 |
$59.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
114 |
90 |
$53.42 |
| 90686 |
|
5,676 |
4,953 |
$41.06 |
| 81002 |
|
14 |
14 |
$33.02 |
| 90633 |
|
2,614 |
2,215 |
$0.08 |
| 90647 |
|
1,092 |
958 |
$0.06 |
| 90651 |
|
694 |
640 |
$0.03 |
| 87110 |
|
1,972 |
1,272 |
$0.02 |
| 87081 |
|
518 |
405 |
$0.00 |
| 90723 |
|
3,316 |
3,079 |
$0.00 |
| 90680 |
|
1,109 |
1,050 |
$0.00 |
| 90677 |
|
310 |
270 |
$0.00 |
| 90696 |
|
462 |
416 |
$0.00 |
| 87184 |
|
1,232 |
534 |
$0.00 |
| 90620 |
|
293 |
259 |
$0.00 |
| 87485 |
|
203 |
162 |
$0.00 |
| 90656 |
|
152 |
135 |
$0.00 |
| 90660 |
|
16 |
13 |
$0.00 |
| 90710 |
|
1,954 |
1,644 |
$0.00 |
| 90648 |
|
2,150 |
2,044 |
$0.00 |
| 90700 |
|
451 |
413 |
$0.00 |
| 90670 |
|
4,253 |
3,768 |
$0.00 |
| 90734 |
|
985 |
884 |
$0.00 |
| 90681 |
|
654 |
603 |
$0.00 |
| 90649 |
|
516 |
470 |
$0.00 |
| 90715 |
|
234 |
215 |
$0.00 |
| 83655 |
|
1,156 |
800 |
$0.00 |
| 87631 |
|
15 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
23 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
79 |
62 |
$0.00 |
| 90707 |
|
14 |
12 |
$0.00 |
| 90461 |
|
29 |
13 |
$0.00 |