| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,231 |
9,350 |
$67K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,727 |
4,466 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,149 |
48,527 |
$38K |
| 90620 |
|
1,155 |
829 |
$6K |
| 90651 |
|
1,507 |
976 |
$6K |
| 90670 |
|
2,030 |
1,520 |
$5K |
| 0003A |
|
130 |
130 |
$5K |
| 0001A |
|
181 |
155 |
$5K |
| 0002A |
|
147 |
124 |
$4K |
| 90734 |
|
1,622 |
1,171 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,530 |
911 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
220 |
191 |
$3K |
| 90686 |
|
4,308 |
3,120 |
$3K |
| 99441 |
|
2,381 |
2,027 |
$2K |
| 0012A |
|
63 |
33 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
30 |
28 |
$1K |
| 90461 |
|
879 |
589 |
$858.36 |
| 90750 |
|
51 |
44 |
$579.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
62 |
49 |
$519.36 |
| 0072A |
|
12 |
12 |
$440.00 |
| 97802 |
|
13 |
13 |
$438.00 |
| 80053 |
Comprehensive metabolic panel |
38 |
28 |
$433.93 |
| 3078F |
|
8,168 |
7,058 |
$430.00 |
| 3074F |
|
11,993 |
9,861 |
$410.00 |
| 0011A |
|
37 |
17 |
$406.56 |
| 90633 |
|
1,436 |
1,116 |
$386.15 |
| 81000 |
|
95 |
79 |
$307.19 |
| 90715 |
|
756 |
511 |
$286.66 |
| 90707 |
|
1,088 |
830 |
$228.00 |
| 90696 |
|
248 |
184 |
$222.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$215.28 |
| 90716 |
|
1,096 |
849 |
$192.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
983 |
865 |
$186.48 |
| 80061 |
Lipid panel |
13 |
13 |
$185.90 |
| 3079F |
|
8,196 |
6,930 |
$174.00 |
| 1157F |
|
44 |
44 |
$172.00 |
| 1158F |
|
44 |
44 |
$172.00 |
| 90700 |
|
143 |
110 |
$171.65 |
| 90688 |
|
212 |
195 |
$159.92 |
| 3075F |
|
3,592 |
3,162 |
$150.00 |
| 96160 |
|
959 |
888 |
$127.02 |
| 90649 |
|
471 |
445 |
$108.01 |
| 99442 |
|
270 |
248 |
$106.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$103.70 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
61 |
$80.97 |
| 90648 |
|
257 |
200 |
$39.00 |
| 90863 |
|
92 |
88 |
$34.00 |
| 96127 |
|
2,842 |
2,622 |
$32.38 |
| 90674 |
|
79 |
52 |
$29.22 |
| 3077F |
|
2,172 |
1,954 |
$15.00 |
| 90698 |
|
241 |
231 |
$6.02 |
| 91301 |
|
98 |
50 |
$0.05 |
| 90647 |
|
72 |
58 |
$0.02 |
| 96150 |
|
57 |
56 |
$0.00 |
| 3008F |
|
1,013 |
913 |
$0.00 |
| 3080F |
|
1,268 |
1,168 |
$0.00 |
| 1170F |
|
36 |
35 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
43 |
$0.00 |
| 98962 |
|
122 |
116 |
$0.00 |
| 90656 |
|
106 |
103 |
$0.00 |
| 90723 |
|
131 |
114 |
$0.00 |
| 90654 |
|
156 |
146 |
$0.00 |
| 1126F |
|
26 |
26 |
$0.00 |
| 90677 |
|
136 |
114 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 90732 |
|
24 |
24 |
$0.00 |
| 90744 |
|
30 |
30 |
$0.00 |
| 96156 |
|
14 |
14 |
$0.00 |
| 3725F |
|
339 |
295 |
$0.00 |
| 90681 |
|
316 |
273 |
$0.00 |
| 91300 |
|
490 |
388 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
91 |
$0.00 |
| 1160F |
|
51 |
49 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
108 |
$0.00 |
| 99408 |
|
71 |
51 |
$0.00 |
| 96152 |
|
42 |
42 |
$0.00 |
| 1159F |
|
51 |
49 |
$0.00 |
| 90655 |
|
41 |
40 |
$0.00 |
| 99411 |
|
54 |
51 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
23 |
$0.00 |
| S9083 |
Global fee urgent care centers |
77 |
77 |
$0.00 |
| 3090F |
|
46 |
46 |
$0.00 |
| 90658 |
|
34 |
20 |
$0.00 |