| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,328 |
7,175 |
$377K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,598 |
7,530 |
$245K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,441 |
1,323 |
$153K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,452 |
2,248 |
$112K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,848 |
1,712 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,323 |
1,150 |
$65K |
| 87634 |
|
836 |
746 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,167 |
1,021 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
476 |
424 |
$24K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
120 |
28 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
712 |
578 |
$21K |
| 90648 |
|
1,015 |
935 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
212 |
201 |
$11K |
| 90670 |
|
792 |
737 |
$10K |
| 90723 |
|
780 |
727 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
133 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
198 |
175 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,167 |
971 |
$6K |
| 92551 |
|
1,023 |
922 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
214 |
211 |
$5K |
| 83655 |
|
379 |
314 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
82 |
$5K |
| 90686 |
|
349 |
309 |
$4K |
| 99381 |
|
90 |
70 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
199 |
195 |
$3K |
| 90633 |
|
277 |
243 |
$3K |
| 90716 |
|
227 |
206 |
$3K |
| 90707 |
|
230 |
205 |
$3K |
| 90681 |
|
209 |
202 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,132 |
2,539 |
$3K |
| 99383 |
|
73 |
43 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
14 |
$2K |
| 90677 |
|
179 |
163 |
$2K |
| 99173 |
|
307 |
244 |
$2K |
| 99382 |
|
46 |
33 |
$2K |
| 96127 |
|
358 |
320 |
$921.88 |
| 90656 |
|
52 |
48 |
$715.27 |
| 90734 |
|
65 |
55 |
$694.06 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
59 |
47 |
$664.74 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$407.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$277.68 |
| 85018 |
|
117 |
101 |
$270.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
28 |
$234.74 |
| 90680 |
|
22 |
20 |
$223.38 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
52 |
$187.59 |
| 90651 |
|
16 |
13 |
$170.82 |
| 80053 |
Comprehensive metabolic panel |
110 |
94 |
$159.68 |
| 99454 |
|
14 |
13 |
$153.50 |
| 36415 |
Collection of venous blood by venipuncture |
879 |
794 |
$121.77 |
| 99497 |
|
25 |
24 |
$15.80 |
| V5008 |
Hearing screening |
96 |
75 |
$12.02 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
67 |
56 |
$3.07 |
| 81003 |
|
14 |
12 |
$2.43 |
| 3078F |
|
4,825 |
4,164 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
657 |
567 |
$0.00 |
| 1159F |
|
8,142 |
6,880 |
$0.00 |
| 96160 |
|
302 |
256 |
$0.00 |
| 99177 |
|
1,091 |
962 |
$0.00 |
| 90461 |
|
325 |
281 |
$0.00 |
| 1160F |
|
1,692 |
1,472 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$0.00 |
| 99051 |
|
13 |
13 |
$0.00 |
| 3280F |
|
17 |
12 |
$0.00 |
| 3074F |
|
4,870 |
4,219 |
$0.00 |
| 1126F |
|
4,853 |
4,070 |
$0.00 |
| 36416 |
|
344 |
310 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 3008F |
|
661 |
587 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
24 |
24 |
$0.00 |
| 99457 |
|
15 |
14 |
$0.00 |
| 3079F |
|
94 |
79 |
$0.00 |