| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,515 |
17,172 |
$950K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,179 |
12,731 |
$916K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,136 |
2,860 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,016 |
1,001 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,018 |
989 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,424 |
2,853 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
606 |
595 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,810 |
3,467 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,637 |
3,344 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
451 |
449 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,341 |
1,240 |
$31K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
364 |
308 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,983 |
2,764 |
$25K |
| 90686 |
|
1,145 |
1,101 |
$20K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,302 |
1,944 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
956 |
920 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
302 |
283 |
$20K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,733 |
1,659 |
$17K |
| 80061 |
Lipid panel |
1,276 |
1,227 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
925 |
740 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,142 |
1,054 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
753 |
654 |
$11K |
| 81003 |
|
3,828 |
3,678 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
221 |
213 |
$10K |
| 80076 |
|
1,420 |
1,356 |
$10K |
| 84481 |
|
686 |
662 |
$10K |
| 90670 |
|
426 |
417 |
$7K |
| 99173 |
|
1,404 |
1,393 |
$7K |
| 84439 |
|
712 |
686 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
529 |
505 |
$6K |
| 90648 |
|
311 |
308 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
350 |
339 |
$5K |
| 0072A |
|
130 |
130 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
249 |
204 |
$5K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
112 |
87 |
$4K |
| 0071A |
|
105 |
92 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
29 |
$3K |
| 99051 |
|
170 |
162 |
$3K |
| 90680 |
|
145 |
145 |
$3K |
| 93000 |
|
152 |
142 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
43 |
12 |
$2K |
| 90651 |
|
118 |
115 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
25 |
15 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,504 |
1,258 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
129 |
106 |
$2K |
| 90756 |
|
73 |
73 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
83 |
53 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
69 |
67 |
$2K |
| 90723 |
|
88 |
88 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
127 |
104 |
$1K |
| 90461 |
|
28 |
25 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
54 |
37 |
$1K |
| 99460 |
|
16 |
15 |
$1K |
| 83655 |
|
87 |
87 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
15 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,376 |
1,226 |
$1K |
| 90633 |
|
78 |
78 |
$1K |
| 90710 |
|
69 |
68 |
$1K |
| 99215 |
Prolong outpt/office vis |
27 |
18 |
$944.17 |
| 82607 |
|
60 |
59 |
$918.19 |
| 85027 |
|
209 |
165 |
$820.83 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
13 |
$785.85 |
| 90671 |
|
34 |
34 |
$672.86 |
| 90674 |
|
24 |
20 |
$649.23 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$614.00 |
| 90696 |
|
37 |
37 |
$602.54 |
| 0003A |
|
14 |
14 |
$560.00 |
| 87807 |
|
46 |
46 |
$484.00 |
| 82746 |
|
38 |
37 |
$454.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
76 |
$380.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
207 |
189 |
$345.08 |
| 90734 |
|
14 |
14 |
$277.06 |
| 90744 |
|
13 |
13 |
$257.27 |
| 81001 |
|
81 |
66 |
$256.00 |
| 80047 |
|
25 |
24 |
$200.66 |
| 87210 |
|
38 |
38 |
$185.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$160.00 |
| 87070 |
|
14 |
14 |
$154.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$149.60 |
| 80305 |
|
18 |
17 |
$146.58 |
| 96127 |
|
41 |
41 |
$134.07 |
| 81025 |
|
47 |
41 |
$114.00 |
| 90700 |
|
12 |
12 |
$96.00 |
| 90698 |
|
15 |
12 |
$96.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
43 |
43 |
$73.24 |
| 87220 |
|
12 |
12 |
$36.00 |
| 1160F |
|
4,310 |
3,850 |
$0.00 |
| 1159F |
|
4,579 |
4,087 |
$0.00 |
| 3078F |
|
6,410 |
5,753 |
$0.00 |
| 99499 |
|
1,466 |
955 |
$0.00 |
| 3077F |
|
182 |
163 |
$0.00 |
| 4025F |
|
280 |
254 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18 |
12 |
$0.00 |
| 99080 |
|
163 |
99 |
$0.00 |
| 3028F |
|
87 |
76 |
$0.00 |
| 3074F |
|
7,600 |
6,798 |
$0.00 |
| 1125F |
|
1,657 |
1,461 |
$0.00 |
| 3079F |
|
1,311 |
1,200 |
$0.00 |
| 3008F |
|
12,347 |
10,710 |
$0.00 |
| 1036F |
|
401 |
346 |
$0.00 |
| 1126F |
|
3,938 |
3,419 |
$0.00 |
| 3080F |
|
16 |
16 |
$0.00 |
| 1034F |
|
36 |
33 |
$0.00 |
| 3044F |
|
308 |
291 |
$0.00 |
| 3075F |
|
198 |
184 |
$0.00 |
| 99000 |
|
42 |
38 |
$0.00 |
| 2000F |
|
59 |
55 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15 |
12 |
$0.00 |
| 1000F |
|
18 |
18 |
$0.00 |
| 4010F |
|
31 |
29 |
$0.00 |