| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110,119 |
103,319 |
$4.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,268 |
29,349 |
$1.75M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19,220 |
18,260 |
$761K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55,608 |
53,129 |
$745K |
| 87428 |
|
11,652 |
11,245 |
$623K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,461 |
5,357 |
$423K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,000 |
3,930 |
$327K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31,858 |
13,212 |
$319K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,036 |
2,964 |
$229K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,436 |
2,382 |
$198K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,446 |
6,915 |
$192K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
979 |
963 |
$187K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,936 |
1,896 |
$129K |
| 99050 |
|
1,061 |
1,014 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
777 |
767 |
$66K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,297 |
2,959 |
$44K |
| 90461 |
|
7,062 |
5,790 |
$44K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
189 |
188 |
$42K |
| 95115 |
|
5,140 |
1,871 |
$37K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,174 |
5,001 |
$33K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
607 |
585 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,868 |
1,828 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
631 |
266 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,489 |
1,453 |
$12K |
| 80053 |
Comprehensive metabolic panel |
2,006 |
1,833 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,221 |
1,098 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
443 |
427 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
364 |
325 |
$7K |
| 81003 |
|
3,648 |
2,879 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
383 |
379 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
144 |
140 |
$6K |
| 80061 |
Lipid panel |
675 |
608 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
772 |
723 |
$5K |
| 85027 |
|
874 |
790 |
$4K |
| 87807 |
|
387 |
354 |
$4K |
| 84439 |
|
490 |
458 |
$3K |
| 90686 |
|
4,736 |
4,580 |
$3K |
| 99381 |
|
42 |
38 |
$3K |
| 81025 |
|
413 |
382 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
63 |
61 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
102 |
97 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
25 |
24 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
101 |
56 |
$2K |
| 83655 |
|
208 |
189 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
689 |
643 |
$2K |
| 99307 |
|
177 |
177 |
$2K |
| 90670 |
|
2,957 |
2,878 |
$1K |
| 94010 |
|
51 |
50 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
96 |
47 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
53 |
53 |
$981.37 |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
47 |
$883.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$881.86 |
| 90677 |
|
322 |
299 |
$835.96 |
| 90651 |
|
654 |
621 |
$789.59 |
| 87210 |
|
166 |
160 |
$769.94 |
| 80050 |
General health panel |
25 |
24 |
$763.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
842 |
808 |
$678.35 |
| 69210 |
|
28 |
26 |
$661.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
339 |
312 |
$632.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
133 |
129 |
$590.89 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
30 |
30 |
$524.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
153 |
136 |
$513.28 |
| 87430 |
|
15 |
15 |
$210.51 |
| 74018 |
|
12 |
12 |
$209.87 |
| 3044F |
|
243 |
238 |
$200.00 |
| 0012A |
|
17 |
16 |
$174.60 |
| 86140 |
|
44 |
41 |
$168.11 |
| 84702 |
|
18 |
12 |
$167.99 |
| 90680 |
|
344 |
333 |
$166.70 |
| 85018 |
|
114 |
102 |
$151.27 |
| 99441 |
|
12 |
12 |
$143.74 |
| 93016 |
|
29 |
29 |
$138.74 |
| 90715 |
|
201 |
187 |
$130.44 |
| 82607 |
|
13 |
12 |
$130.11 |
| 85651 |
|
28 |
27 |
$93.85 |
| 93018 |
|
30 |
30 |
$91.72 |
| 90656 |
|
340 |
339 |
$88.75 |
| 99318 |
|
16 |
16 |
$80.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
13 |
$79.01 |
| 90633 |
|
809 |
787 |
$70.29 |
| 83690 |
|
14 |
12 |
$65.94 |
| 82977 |
|
14 |
12 |
$56.73 |
| 90648 |
|
2,664 |
2,606 |
$46.68 |
| 0011A |
|
13 |
12 |
$35.58 |
| 36415 |
Collection of venous blood by venipuncture |
221 |
191 |
$14.10 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
167 |
162 |
$3.18 |
| 90723 |
|
1,392 |
1,357 |
$0.00 |
| 90696 |
|
169 |
166 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 96127 |
|
47 |
42 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90681 |
|
352 |
345 |
$0.00 |
| 90734 |
|
482 |
459 |
$0.00 |
| 90710 |
|
417 |
410 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |