| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,493 |
15,402 |
$670K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,574 |
7,108 |
$485K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,747 |
4,683 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,072 |
1,071 |
$64K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,322 |
1,312 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
978 |
978 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,002 |
1,002 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
824 |
807 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
728 |
728 |
$43K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,506 |
4,497 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,118 |
4,106 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,397 |
1,310 |
$29K |
| 17110 |
|
497 |
464 |
$24K |
| 99173 |
|
2,032 |
2,030 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
883 |
832 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,569 |
1,546 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
307 |
280 |
$14K |
| 90461 |
|
1,975 |
1,970 |
$11K |
| 96127 |
|
1,270 |
1,201 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
312 |
282 |
$10K |
| 86769 |
|
236 |
159 |
$8K |
| 11100 |
|
97 |
89 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
428 |
417 |
$3K |
| 87420 |
|
196 |
194 |
$2K |
| 17004 |
|
41 |
41 |
$2K |
| 87070 |
|
250 |
241 |
$2K |
| 94760 |
|
974 |
861 |
$2K |
| 99188 |
|
79 |
79 |
$2K |
| 87276 |
|
141 |
136 |
$2K |
| 87275 |
|
139 |
135 |
$2K |
| 11102 |
|
29 |
28 |
$2K |
| 11301 |
|
27 |
27 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52 |
52 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
52 |
52 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
99 |
93 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 83655 |
|
83 |
82 |
$1K |
| 99050 |
|
57 |
56 |
$927.36 |
| 11300 |
|
14 |
14 |
$667.30 |
| 81003 |
|
329 |
322 |
$635.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$453.96 |
| 90688 |
|
27 |
27 |
$398.20 |
| 94664 |
|
26 |
26 |
$375.62 |
| ATP03 |
|
47 |
47 |
$321.95 |
| 0003A |
|
12 |
12 |
$321.09 |
| 90674 |
|
12 |
12 |
$253.17 |
| 99072 |
|
1,255 |
1,177 |
$194.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$60.06 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
35 |
34 |
$32.15 |
| 99000 |
|
75 |
74 |
$31.90 |
| 90686 |
|
96 |
96 |
$19.03 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90698 |
|
45 |
45 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90680 |
|
30 |
30 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
13 |
12 |
$0.00 |
| 90670 |
|
151 |
150 |
$0.00 |
| 80061 |
Lipid panel |
34 |
32 |
$0.00 |
| 90685 |
|
19 |
19 |
$0.00 |