| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,992 |
12,600 |
$634K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,428 |
8,969 |
$319K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,615 |
1,488 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,628 |
1,520 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,673 |
1,531 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,348 |
1,285 |
$64K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,784 |
2,647 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,747 |
6,384 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
969 |
914 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,608 |
2,858 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,837 |
3,579 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,592 |
2,970 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,065 |
1,854 |
$22K |
| 99000 |
|
1,791 |
1,602 |
$15K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
772 |
752 |
$15K |
| 99215 |
Prolong outpt/office vis |
299 |
252 |
$15K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
59 |
37 |
$14K |
| 99384 |
|
159 |
147 |
$12K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
160 |
154 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
147 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,216 |
1,099 |
$10K |
| 99383 |
|
131 |
123 |
$8K |
| 87807 |
|
1,081 |
1,035 |
$8K |
| 90461 |
|
2,175 |
2,009 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
73 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
176 |
$4K |
| 92551 |
|
441 |
438 |
$3K |
| 81002 |
|
1,697 |
1,573 |
$3K |
| 96160 |
|
4,329 |
4,059 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
577 |
531 |
$3K |
| 99382 |
|
30 |
26 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
135 |
133 |
$2K |
| 93000 |
|
188 |
183 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
602 |
494 |
$1K |
| 0001A |
|
54 |
54 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,431 |
1,261 |
$1K |
| 80053 |
Comprehensive metabolic panel |
358 |
274 |
$873.34 |
| 99381 |
|
28 |
24 |
$840.03 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
22 |
$810.71 |
| 90473 |
|
77 |
77 |
$779.85 |
| 80061 |
Lipid panel |
246 |
190 |
$771.57 |
| 94760 |
|
700 |
490 |
$751.68 |
| 81003 |
|
594 |
556 |
$722.36 |
| 99407 |
|
53 |
47 |
$602.10 |
| J1096 |
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg |
27 |
27 |
$600.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
181 |
131 |
$588.52 |
| 86328 |
|
18 |
16 |
$570.05 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
59 |
55 |
$516.72 |
| 90686 |
|
376 |
374 |
$316.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
43 |
$305.76 |
| 94010 |
|
13 |
12 |
$289.74 |
| 0002A |
|
13 |
13 |
$280.00 |
| 92552 |
|
329 |
226 |
$250.78 |
| 96127 |
|
485 |
469 |
$249.43 |
| 82607 |
|
29 |
28 |
$213.57 |
| 86318 |
|
28 |
28 |
$210.17 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
38 |
35 |
$138.75 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
114 |
104 |
$128.83 |
| 83655 |
|
15 |
15 |
$108.95 |
| 97802 |
|
24 |
18 |
$63.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
14 |
$54.75 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
14 |
$47.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
318 |
306 |
$46.21 |
| 92587 |
|
57 |
46 |
$31.50 |
| 90672 |
|
91 |
91 |
$24.21 |
| 98960 |
|
54 |
43 |
$21.00 |
| 81000 |
|
14 |
13 |
$18.24 |
| 99401 |
|
13 |
12 |
$17.50 |
| 81005 |
|
19 |
17 |
$12.26 |
| 90677 |
|
210 |
199 |
$1.08 |
| 90656 |
|
226 |
217 |
$0.58 |
| 90734 |
|
394 |
360 |
$0.20 |
| 90733 |
|
13 |
13 |
$0.11 |
| 90715 |
|
122 |
116 |
$0.08 |
| 90620 |
|
86 |
83 |
$0.07 |
| 90650 |
|
281 |
264 |
$0.02 |
| 90651 |
|
72 |
66 |
$0.02 |
| 90685 |
|
146 |
145 |
$0.02 |
| 90670 |
|
684 |
631 |
$0.01 |
| 90680 |
|
279 |
265 |
$0.00 |
| 90744 |
|
47 |
47 |
$0.00 |
| 90698 |
|
149 |
147 |
$0.00 |
| 90723 |
|
43 |
42 |
$0.00 |
| 90696 |
|
65 |
65 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$0.00 |
| 92548 |
|
25 |
24 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 99173 |
|
887 |
748 |
$0.00 |
| 90648 |
|
298 |
273 |
$0.00 |
| 90633 |
|
386 |
346 |
$0.00 |
| 91300 |
|
167 |
156 |
$0.00 |
| 90710 |
|
174 |
159 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
24 |
24 |
$0.00 |
| 90700 |
|
60 |
55 |
$0.00 |
| J3530 |
Nasal vaccine inhalation |
12 |
12 |
$0.00 |