| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,727 |
34,374 |
$1.78M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,415 |
14,490 |
$938K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,775 |
6,485 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,800 |
1,710 |
$108K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,625 |
8,102 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,876 |
1,695 |
$98K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,264 |
3,968 |
$66K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
418 |
401 |
$57K |
| 92552 |
|
3,050 |
2,886 |
$55K |
| X5622 |
|
2,369 |
2,314 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
762 |
714 |
$47K |
| 99215 |
Prolong outpt/office vis |
429 |
354 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
525 |
504 |
$42K |
| 0240U |
|
246 |
235 |
$36K |
| 87430 |
|
2,535 |
2,415 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
15,038 |
13,074 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,081 |
1,949 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,076 |
4,610 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
636 |
612 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
285 |
278 |
$19K |
| 80061 |
Lipid panel |
1,857 |
1,712 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
282 |
199 |
$14K |
| 92015 |
Determination of refractive state |
1,272 |
1,211 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,320 |
616 |
$13K |
| 87081 |
|
2,433 |
2,299 |
$12K |
| 80053 |
Comprehensive metabolic panel |
1,442 |
1,329 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
288 |
258 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
131 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,103 |
1,059 |
$8K |
| 99188 |
|
809 |
784 |
$8K |
| 90670 |
|
930 |
901 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
70 |
69 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
872 |
802 |
$6K |
| 90688 |
|
391 |
381 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
506 |
496 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
119 |
$4K |
| 81001 |
|
1,747 |
1,560 |
$4K |
| 99173 |
|
2,455 |
2,334 |
$4K |
| 87088 |
|
726 |
641 |
$3K |
| 90682 |
|
51 |
51 |
$3K |
| 90686 |
|
1,613 |
1,554 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
91 |
82 |
$1K |
| 92551 |
|
171 |
169 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
50 |
49 |
$1K |
| 0012A |
|
39 |
37 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
25 |
25 |
$1K |
| 90734 |
|
80 |
75 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90698 |
|
934 |
901 |
$1K |
| 0011A |
|
37 |
35 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
36 |
36 |
$952.76 |
| 90651 |
|
98 |
88 |
$952.51 |
| V2020 |
Frames, purchases |
58 |
49 |
$939.68 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
56 |
51 |
$875.00 |
| 0002A |
|
19 |
19 |
$820.98 |
| 36416 |
|
346 |
288 |
$772.84 |
| 90473 |
|
71 |
66 |
$763.91 |
| 85018 |
|
454 |
429 |
$726.32 |
| 90715 |
|
75 |
72 |
$564.99 |
| 90674 |
|
136 |
132 |
$265.29 |
| 96127 |
|
56 |
53 |
$191.80 |
| 90697 |
|
30 |
27 |
$168.14 |
| 90633 |
|
229 |
223 |
$164.69 |
| 90661 |
|
68 |
68 |
$154.84 |
| 90681 |
|
24 |
24 |
$108.50 |
| 84439 |
|
12 |
12 |
$100.98 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$48.01 |
| 90744 |
|
89 |
87 |
$32.90 |
| 90677 |
|
50 |
44 |
$5.00 |
| 90685 |
|
166 |
158 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 87210 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
48 |
46 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |