| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,469 |
40,641 |
$3.40M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,385 |
25,323 |
$862K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,265 |
8,264 |
$845K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,179 |
7,171 |
$726K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,765 |
4,630 |
$556K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,927 |
4,915 |
$461K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,699 |
3,695 |
$417K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
7,709 |
7,641 |
$177K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,875 |
3,840 |
$163K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,550 |
2,318 |
$65K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,262 |
11,197 |
$43K |
| 81003 |
|
16,202 |
16,021 |
$26K |
| 99051 |
|
1,526 |
1,513 |
$12K |
| 83655 |
|
751 |
750 |
$10K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
538 |
538 |
$8K |
| 0071A |
|
158 |
158 |
$6K |
| 0072A |
|
152 |
152 |
$6K |
| 94375 |
|
113 |
113 |
$4K |
| 87807 |
|
215 |
213 |
$3K |
| 92587 |
|
64 |
64 |
$2K |
| 90686 |
|
6,006 |
6,003 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
80 |
$1K |
| 99173 |
|
9,272 |
9,260 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
144 |
144 |
$1K |
| 90651 |
|
565 |
565 |
$935.81 |
| 80061 |
Lipid panel |
122 |
121 |
$925.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$856.65 |
| 96127 |
|
110 |
106 |
$696.87 |
| 95012 |
|
26 |
26 |
$489.60 |
| 82947 |
|
121 |
120 |
$480.84 |
| 0111A |
|
12 |
12 |
$461.88 |
| 90480 |
|
12 |
12 |
$253.02 |
| 90715 |
|
311 |
311 |
$231.82 |
| 90671 |
|
385 |
385 |
$226.89 |
| 87088 |
|
24 |
24 |
$209.91 |
| 90672 |
|
782 |
782 |
$168.84 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
66 |
65 |
$167.86 |
| 96160 |
|
122 |
122 |
$164.15 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$110.55 |
| 36415 |
Collection of venous blood by venipuncture |
337 |
329 |
$0.00 |
| 90697 |
|
446 |
446 |
$0.00 |
| 90680 |
|
1,498 |
1,496 |
$0.00 |
| 90698 |
|
1,982 |
1,978 |
$0.00 |
| 90619 |
|
216 |
216 |
$0.00 |
| 90744 |
|
462 |
462 |
$0.00 |
| 90660 |
|
98 |
98 |
$0.00 |
| 90696 |
|
90 |
90 |
$0.00 |
| 90677 |
|
442 |
442 |
$0.00 |
| 90656 |
|
104 |
104 |
$0.00 |
| 90670 |
|
2,374 |
2,370 |
$0.00 |
| 90633 |
|
1,261 |
1,261 |
$0.00 |
| 90685 |
|
269 |
269 |
$0.00 |
| 90710 |
|
653 |
653 |
$0.00 |
| 91311 |
|
12 |
12 |
$0.00 |
| 90734 |
|
172 |
172 |
$0.00 |