| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,394 |
24,234 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,177 |
9,070 |
$562K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,845 |
5,499 |
$473K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,621 |
2,401 |
$351K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
8,041 |
7,398 |
$338K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,990 |
3,956 |
$336K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,694 |
9,685 |
$280K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,987 |
2,950 |
$270K |
| S9470 |
Nutritional counseling, dietitian visit |
8,747 |
8,208 |
$262K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,073 |
2,984 |
$248K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,862 |
1,838 |
$182K |
| 87634 |
|
2,884 |
2,687 |
$168K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,934 |
2,763 |
$155K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,237 |
2,194 |
$138K |
| 99429 |
|
3,683 |
3,655 |
$129K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,064 |
2,922 |
$87K |
| 94060 |
|
2,151 |
2,037 |
$79K |
| 99000 |
|
6,758 |
6,231 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,248 |
4,066 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
556 |
542 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,366 |
6,959 |
$51K |
| 99381 |
|
517 |
490 |
$43K |
| 92552 |
|
4,161 |
4,146 |
$25K |
| 99383 |
|
233 |
233 |
$22K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,037 |
2,719 |
$21K |
| 90461 |
|
4,843 |
4,180 |
$18K |
| 99051 |
|
2,920 |
2,768 |
$16K |
| 83655 |
|
1,479 |
1,468 |
$16K |
| 99382 |
|
151 |
150 |
$14K |
| 0071A |
|
255 |
248 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
964 |
951 |
$10K |
| 0072A |
|
233 |
232 |
$9K |
| 99050 |
|
604 |
573 |
$9K |
| 99442 |
|
196 |
176 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
82 |
$7K |
| 85018 |
|
6,050 |
5,944 |
$7K |
| 0001A |
|
179 |
168 |
$7K |
| 0002A |
|
159 |
159 |
$7K |
| 97169 |
|
200 |
193 |
$3K |
| 99384 |
|
30 |
30 |
$3K |
| 87807 |
|
279 |
261 |
$3K |
| 0081A |
|
53 |
52 |
$2K |
| 96160 |
|
3,036 |
2,984 |
$2K |
| 17250 |
|
30 |
26 |
$2K |
| 81002 |
|
450 |
424 |
$1K |
| 0074A |
|
33 |
33 |
$1K |
| 69210 |
|
29 |
24 |
$1K |
| 0082A |
|
18 |
18 |
$732.00 |
| 0004A |
|
20 |
20 |
$648.00 |
| 0003A |
|
12 |
12 |
$520.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$264.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
27 |
$123.78 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
2,156 |
2,044 |
$90.38 |
| 99072 |
|
258 |
243 |
$51.00 |
| 90686 |
|
4,106 |
4,042 |
$41.25 |
| 90671 |
|
1,543 |
1,508 |
$4.91 |
| 91307 |
|
543 |
480 |
$0.93 |
| 91300 |
|
428 |
365 |
$0.47 |
| 90651 |
|
1,083 |
1,062 |
$0.44 |
| 90621 |
|
302 |
298 |
$0.22 |
| 91308 |
|
81 |
80 |
$0.17 |
| 90734 |
|
789 |
774 |
$0.14 |
| 90380 |
|
65 |
49 |
$0.07 |
| 90715 |
|
285 |
282 |
$0.07 |
| 90716 |
|
1,400 |
1,388 |
$0.03 |
| 90707 |
|
1,356 |
1,344 |
$0.03 |
| 90723 |
|
1,366 |
1,337 |
$0.00 |
| 90698 |
|
584 |
576 |
$0.00 |
| 1031F |
|
4,695 |
4,676 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
913 |
801 |
$0.00 |
| 90680 |
|
1,976 |
1,942 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
909 |
867 |
$0.00 |
| 90656 |
|
556 |
548 |
$0.00 |
| 36416 |
|
794 |
781 |
$0.00 |
| 90381 |
|
17 |
15 |
$0.00 |
| 0240U |
|
43 |
31 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
102 |
95 |
$0.00 |
| 90660 |
|
270 |
256 |
$0.00 |
| 90648 |
|
2,224 |
2,191 |
$0.00 |
| 90633 |
|
1,636 |
1,613 |
$0.00 |
| 99173 |
|
3,799 |
3,784 |
$0.00 |
| 90700 |
|
1,312 |
1,304 |
$0.00 |
| 90713 |
|
484 |
477 |
$0.00 |
| 90670 |
|
1,432 |
1,421 |
$0.00 |