| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313,935 |
275,681 |
$10.47M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
213,309 |
196,950 |
$8.54M |
| S8301 |
Infection control supplies, not otherwise specified |
254,198 |
225,573 |
$3.27M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
142,357 |
66,837 |
$1.84M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23,979 |
23,652 |
$1.76M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18,991 |
18,702 |
$1.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,791 |
28,219 |
$1.41M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103,636 |
97,067 |
$1.34M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,851 |
17,470 |
$1.27M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23,866 |
22,914 |
$1.20M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
105,685 |
45,441 |
$1.08M |
| 87400 |
|
96,884 |
45,783 |
$1.07M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,958 |
11,197 |
$852K |
| 87430 |
|
55,549 |
52,583 |
$726K |
| 87428 |
|
9,719 |
8,315 |
$606K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
97,360 |
91,109 |
$596K |
| 99429 |
|
8,703 |
8,515 |
$264K |
| 99381 |
|
3,162 |
3,125 |
$249K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,549 |
3,377 |
$163K |
| 97802 |
|
42,536 |
41,640 |
$112K |
| 90461 |
|
28,084 |
22,600 |
$105K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,577 |
13,313 |
$101K |
| 87420 |
|
9,107 |
8,548 |
$96K |
| 99000 |
|
8,590 |
8,102 |
$82K |
| 99051 |
|
22,602 |
21,224 |
$67K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,367 |
5,028 |
$63K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,077 |
1,982 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,568 |
2,433 |
$57K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,092 |
1,996 |
$56K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
706 |
697 |
$55K |
| 87807 |
|
5,124 |
4,821 |
$53K |
| 99382 |
|
484 |
483 |
$42K |
| 99383 |
|
427 |
420 |
$35K |
| 92567 |
|
3,003 |
2,883 |
$35K |
| 81000 |
|
10,383 |
9,785 |
$32K |
| 0071A |
|
837 |
834 |
$32K |
| 0001A |
|
819 |
798 |
$29K |
| 96160 |
|
14,102 |
13,866 |
$26K |
| 0072A |
|
648 |
646 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
302 |
296 |
$24K |
| 90837 |
Psychotherapy, 53 minutes with patient |
279 |
205 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
285 |
276 |
$22K |
| 99384 |
|
237 |
236 |
$22K |
| 0002A |
|
523 |
496 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
427 |
397 |
$16K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
266 |
222 |
$15K |
| 99050 |
|
937 |
858 |
$13K |
| 90834 |
Psychotherapy, 45 minutes with patient |
214 |
170 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,255 |
1,163 |
$12K |
| 97169 |
|
457 |
437 |
$11K |
| 83655 |
|
1,037 |
1,027 |
$8K |
| 80061 |
Lipid panel |
847 |
796 |
$7K |
| 81003 |
|
3,787 |
3,603 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
847 |
793 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,238 |
3,010 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
422 |
398 |
$5K |
| 0081A |
|
94 |
84 |
$3K |
| 82947 |
|
965 |
895 |
$3K |
| 0003A |
|
68 |
68 |
$3K |
| 96161 |
|
1,343 |
1,324 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
25 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
163 |
162 |
$2K |
| 0053A |
|
52 |
51 |
$2K |
| 86580 |
|
251 |
250 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
181 |
$2K |
| 0073A |
|
44 |
44 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$1K |
| 0082A |
|
27 |
26 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
42,091 |
41,184 |
$855.12 |
| 86308 |
|
176 |
160 |
$750.57 |
| 74018 |
|
18 |
18 |
$429.42 |
| 90480 |
|
17 |
17 |
$398.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
513 |
500 |
$284.14 |
| 90651 |
|
3,770 |
3,723 |
$219.25 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
99 |
98 |
$165.00 |
| 92587 |
|
38 |
38 |
$51.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
425 |
396 |
$17.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$7.15 |
| 90686 |
|
10,866 |
10,643 |
$4.98 |
| 90677 |
|
2,208 |
2,171 |
$3.39 |
| 84030 |
|
353 |
349 |
$3.20 |
| 96127 |
|
4,248 |
4,175 |
$2.49 |
| 90619 |
|
185 |
183 |
$0.59 |
| 90620 |
|
1,381 |
1,371 |
$0.45 |
| 90661 |
|
159 |
158 |
$0.25 |
| 90734 |
|
3,633 |
3,580 |
$0.08 |
| 90715 |
|
2,038 |
2,013 |
$0.06 |
| 90688 |
|
204 |
196 |
$0.05 |
| 90674 |
|
22 |
22 |
$0.04 |
| 90707 |
|
1,028 |
1,017 |
$0.03 |
| 90670 |
|
6,809 |
6,682 |
$0.01 |
| 90685 |
|
683 |
673 |
$0.00 |
| 90648 |
|
5,896 |
5,778 |
$0.00 |
| 90633 |
|
3,622 |
3,576 |
$0.00 |
| 90681 |
|
1,745 |
1,731 |
$0.00 |
| 90700 |
|
1,080 |
1,072 |
$0.00 |
| 91300 |
|
1,647 |
1,527 |
$0.00 |
| 90710 |
|
1,644 |
1,621 |
$0.00 |
| 91308 |
|
137 |
120 |
$0.00 |
| 90713 |
|
23 |
23 |
$0.00 |
| 90723 |
|
3,311 |
3,258 |
$0.00 |
| 90696 |
|
1,415 |
1,400 |
$0.00 |
| 90656 |
|
1,005 |
993 |
$0.00 |
| 91305 |
|
140 |
137 |
$0.00 |
| 90716 |
|
1,084 |
1,073 |
$0.00 |
| 90680 |
|
451 |
444 |
$0.00 |
| 90697 |
|
924 |
914 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
339 |
328 |
$0.00 |
| 91307 |
|
1,640 |
1,540 |
$0.00 |
| 90744 |
|
151 |
150 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
95 |
86 |
$0.00 |
| 90698 |
|
171 |
170 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |