| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,622 |
34,356 |
$2.49M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,184 |
10,264 |
$1.04M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,927 |
16,619 |
$759K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,444 |
6,387 |
$640K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,171 |
6,049 |
$567K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,881 |
3,843 |
$385K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,628 |
4,873 |
$219K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,864 |
1,852 |
$202K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,316 |
3,202 |
$164K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,595 |
11,063 |
$148K |
| 90461 |
|
6,576 |
6,392 |
$141K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,650 |
1,582 |
$125K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,256 |
11,992 |
$96K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,635 |
2,948 |
$81K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,577 |
9,462 |
$75K |
| 36415 |
Collection of venous blood by venipuncture |
19,941 |
18,234 |
$47K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,122 |
1,093 |
$43K |
| 99215 |
Prolong outpt/office vis |
345 |
326 |
$41K |
| 99050 |
|
3,600 |
3,455 |
$40K |
| 96127 |
|
4,626 |
4,593 |
$37K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
534 |
508 |
$34K |
| 87081 |
|
4,522 |
4,341 |
$28K |
| 85018 |
|
10,378 |
10,284 |
$25K |
| 96160 |
|
3,346 |
3,300 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,080 |
1,057 |
$20K |
| 81003 |
|
8,591 |
8,397 |
$19K |
| 87634 |
|
283 |
275 |
$16K |
| 87430 |
|
952 |
899 |
$14K |
| 83655 |
|
1,073 |
1,057 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
155 |
152 |
$8K |
| 82465 |
|
2,046 |
2,025 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
76 |
40 |
$7K |
| 87807 |
|
684 |
666 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
38 |
37 |
$7K |
| 90677 |
|
666 |
652 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,585 |
1,260 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
503 |
463 |
$5K |
| 99460 |
|
51 |
49 |
$4K |
| G9153 |
Mapcp demonstration - physician incentive pool |
95 |
95 |
$4K |
| 94664 |
|
228 |
203 |
$2K |
| 0071A |
|
65 |
65 |
$2K |
| 0072A |
|
43 |
43 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
956 |
720 |
$1K |
| 0002A |
|
29 |
29 |
$870.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
32 |
32 |
$776.14 |
| 90686 |
|
4,331 |
4,271 |
$529.23 |
| 90380 |
|
17 |
17 |
$511.43 |
| 94760 |
|
329 |
282 |
$463.21 |
| 69210 |
|
12 |
12 |
$457.34 |
| 87301 |
|
47 |
46 |
$413.47 |
| 0003A |
|
13 |
13 |
$390.00 |
| 99058 |
|
13 |
12 |
$325.00 |
| 82247 |
|
61 |
49 |
$291.22 |
| 90723 |
|
2,745 |
2,700 |
$186.32 |
| 90633 |
|
1,707 |
1,693 |
$104.97 |
| 90656 |
|
237 |
237 |
$77.16 |
| 90648 |
|
3,226 |
3,176 |
$48.52 |
| 91307 |
|
150 |
145 |
$2.59 |
| 91300 |
|
36 |
34 |
$0.35 |
| 90696 |
|
69 |
69 |
$0.00 |
| 36416 |
|
1,332 |
1,224 |
$0.00 |
| 90651 |
|
164 |
161 |
$0.00 |
| 90716 |
|
118 |
117 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90670 |
|
3,333 |
3,289 |
$0.00 |
| 90734 |
|
248 |
246 |
$0.00 |
| 90681 |
|
964 |
935 |
$0.00 |
| 90707 |
|
93 |
92 |
$0.00 |
| 90700 |
|
41 |
41 |
$0.00 |
| 90710 |
|
85 |
85 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |