| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,946 |
10,107 |
$471K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,776 |
8,325 |
$424K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,535 |
3,787 |
$299K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,954 |
4,267 |
$296K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,172 |
3,385 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,126 |
1,843 |
$143K |
| 95930 |
|
3,607 |
3,074 |
$131K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,238 |
1,121 |
$124K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,300 |
10,978 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,069 |
3,558 |
$111K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
604 |
550 |
$96K |
| 92552 |
|
4,573 |
3,811 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
743 |
622 |
$55K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
266 |
261 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,239 |
1,037 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
943 |
831 |
$31K |
| 36416 |
|
13,855 |
11,259 |
$31K |
| 99173 |
|
3,178 |
2,630 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,070 |
929 |
$21K |
| 92567 |
|
1,404 |
1,154 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,447 |
1,231 |
$17K |
| 99215 |
Prolong outpt/office vis |
189 |
158 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
386 |
354 |
$14K |
| 83655 |
|
985 |
788 |
$13K |
| 90670 |
|
3,474 |
2,794 |
$11K |
| 87807 |
|
849 |
773 |
$9K |
| 81002 |
|
2,348 |
1,896 |
$7K |
| 81003 |
|
3,479 |
2,984 |
$7K |
| 96127 |
|
1,583 |
1,325 |
$6K |
| 90461 |
|
7,873 |
4,663 |
$6K |
| 90651 |
|
262 |
230 |
$5K |
| 99381 |
|
67 |
52 |
$4K |
| 90716 |
|
668 |
553 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
38 |
$3K |
| 99383 |
|
35 |
29 |
$3K |
| 90633 |
|
1,517 |
1,205 |
$3K |
| 94760 |
|
1,548 |
1,339 |
$2K |
| 90734 |
|
196 |
164 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
125 |
115 |
$2K |
| A4258 |
Spring-powered device for lancet, each |
13,778 |
11,211 |
$2K |
| 90707 |
|
695 |
575 |
$2K |
| 3008F |
|
350 |
276 |
$2K |
| 80061 |
Lipid panel |
110 |
98 |
$1K |
| 90700 |
|
1,941 |
1,557 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
25 |
$1K |
| 90688 |
|
555 |
479 |
$1K |
| 90680 |
|
1,886 |
1,561 |
$880.18 |
| 90698 |
|
747 |
661 |
$735.42 |
| 90713 |
|
1,066 |
848 |
$662.49 |
| 90715 |
|
36 |
27 |
$326.44 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
86 |
$230.25 |
| 69210 |
|
27 |
12 |
$200.44 |
| 86580 |
|
32 |
26 |
$193.78 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
3,578 |
3,047 |
$184.54 |
| 90647 |
|
1,051 |
807 |
$171.37 |
| 90685 |
|
192 |
173 |
$152.40 |
| 90744 |
|
1,081 |
911 |
$122.28 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
3,562 |
3,037 |
$83.09 |
| 90696 |
|
52 |
51 |
$69.78 |
| 90648 |
|
551 |
505 |
$42.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$28.06 |
| 90686 |
|
882 |
768 |
$25.23 |
| 99000 |
|
1,684 |
1,354 |
$1.82 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
5,805 |
4,889 |
$0.08 |
| 90723 |
|
15 |
13 |
$0.01 |
| 90710 |
|
133 |
109 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
3,894 |
2,716 |
$0.00 |
| 99072 |
|
1,142 |
908 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
5,661 |
3,764 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
69 |
50 |
$0.00 |