| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,367 |
46,010 |
$1.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,545 |
21,052 |
$1.01M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,229 |
3,912 |
$180K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,242 |
2,857 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,019 |
1,682 |
$93K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,075 |
5,736 |
$81K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,228 |
950 |
$67K |
| 92552 |
|
3,749 |
3,289 |
$60K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
952 |
882 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
844 |
766 |
$58K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,037 |
2,683 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
706 |
619 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
578 |
523 |
$40K |
| 96127 |
|
9,795 |
8,555 |
$35K |
| 96160 |
|
1,845 |
1,570 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
354 |
299 |
$21K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
660 |
627 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,895 |
3,459 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
11,931 |
10,408 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
280 |
217 |
$15K |
| 99177 |
|
1,765 |
1,501 |
$12K |
| 3078F |
|
24,199 |
21,170 |
$10K |
| 3074F |
|
27,429 |
23,966 |
$10K |
| 90686 |
|
1,568 |
1,424 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
731 |
663 |
$7K |
| 1159F |
|
24,309 |
21,430 |
$6K |
| 3079F |
|
9,476 |
8,468 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
539 |
513 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
119 |
115 |
$5K |
| 99173 |
|
1,040 |
946 |
$5K |
| 80061 |
Lipid panel |
1,147 |
1,008 |
$5K |
| 81002 |
|
3,608 |
3,098 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
480 |
433 |
$4K |
| 80305 |
|
738 |
586 |
$4K |
| 1125F |
|
12,090 |
10,725 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
119 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
56 |
$4K |
| 99406 |
|
568 |
494 |
$3K |
| 0031A |
|
104 |
84 |
$3K |
| 1126F |
|
9,359 |
8,529 |
$3K |
| 80050 |
General health panel |
170 |
141 |
$2K |
| 0011A |
|
61 |
52 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,305 |
1,151 |
$2K |
| 3075F |
|
4,344 |
3,875 |
$2K |
| 0012A |
|
40 |
40 |
$2K |
| 90651 |
|
116 |
98 |
$1K |
| 99215 |
Prolong outpt/office vis |
46 |
35 |
$925.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
406 |
356 |
$806.62 |
| 84439 |
|
269 |
236 |
$778.56 |
| 82607 |
|
310 |
263 |
$713.64 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
662 |
542 |
$593.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
795 |
698 |
$524.83 |
| 81025 |
|
83 |
70 |
$382.55 |
| 90461 |
|
673 |
582 |
$370.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
281 |
242 |
$349.23 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
12 |
12 |
$311.20 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
38 |
12 |
$286.84 |
| 90734 |
|
18 |
17 |
$285.87 |
| 93000 |
|
18 |
12 |
$235.69 |
| 90670 |
|
228 |
205 |
$211.86 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
16 |
$207.54 |
| 96161 |
|
14 |
12 |
$186.78 |
| 90723 |
|
92 |
81 |
$90.05 |
| 90680 |
|
17 |
15 |
$87.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
56 |
50 |
$82.29 |
| 83540 |
|
99 |
83 |
$58.53 |
| 90715 |
|
15 |
12 |
$47.64 |
| 83550 |
|
47 |
38 |
$36.88 |
| 84443 |
Thyroid stimulating hormone (TSH) |
87 |
76 |
$22.48 |
| G0008 |
Administration of influenza virus vaccine |
100 |
86 |
$15.42 |
| 90648 |
|
172 |
156 |
$14.60 |
| 4004F |
|
682 |
633 |
$0.02 |
| 3044F |
|
92 |
80 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 91301 |
|
206 |
201 |
$0.00 |
| 91303 |
|
101 |
83 |
$0.00 |
| 3048F |
|
40 |
38 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 3077F |
|
29 |
25 |
$0.00 |
| 90633 |
|
17 |
15 |
$0.00 |