| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,167 |
18,353 |
$770K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,654 |
14,867 |
$549K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,882 |
4,795 |
$61K |
| 87428 |
|
982 |
871 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,641 |
1,244 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,552 |
2,911 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
528 |
462 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,848 |
8,142 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
497 |
444 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,557 |
2,118 |
$22K |
| 87631 |
|
177 |
156 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,258 |
1,099 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
295 |
243 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
677 |
561 |
$15K |
| 80053 |
Comprehensive metabolic panel |
6,778 |
5,723 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
190 |
157 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
131 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
11,600 |
9,442 |
$8K |
| 90670 |
|
466 |
416 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,023 |
2,684 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
765 |
671 |
$7K |
| 80061 |
Lipid panel |
2,625 |
2,313 |
$5K |
| 83735 |
|
2,703 |
2,322 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
66 |
$4K |
| 81001 |
|
3,753 |
3,095 |
$4K |
| 90461 |
|
853 |
762 |
$4K |
| 87807 |
|
494 |
394 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
958 |
829 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
847 |
635 |
$3K |
| 80305 |
|
747 |
620 |
$3K |
| 99177 |
|
453 |
389 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
404 |
337 |
$3K |
| 90674 |
|
180 |
151 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,387 |
1,213 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,140 |
942 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
457 |
350 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
334 |
313 |
$2K |
| 90710 |
|
14 |
13 |
$1K |
| 90633 |
|
172 |
135 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
112 |
82 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
122 |
98 |
$752.83 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
41 |
$721.96 |
| 99406 |
|
134 |
82 |
$703.57 |
| 99307 |
|
174 |
158 |
$693.06 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
16 |
$666.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
611 |
426 |
$643.89 |
| 80050 |
General health panel |
217 |
192 |
$628.26 |
| 90723 |
|
62 |
58 |
$596.96 |
| 99215 |
Prolong outpt/office vis |
21 |
14 |
$583.87 |
| 84439 |
|
363 |
288 |
$509.15 |
| 74018 |
|
47 |
39 |
$457.78 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
913 |
809 |
$452.37 |
| 0011A |
|
18 |
14 |
$433.88 |
| 90688 |
|
89 |
78 |
$363.29 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
54 |
47 |
$361.88 |
| 83655 |
|
30 |
30 |
$326.12 |
| 90681 |
|
70 |
62 |
$319.99 |
| 85651 |
|
354 |
286 |
$254.73 |
| 99304 |
|
36 |
35 |
$251.21 |
| 85610 |
|
219 |
183 |
$250.95 |
| 93000 |
|
28 |
25 |
$239.28 |
| 90756 |
|
49 |
38 |
$208.94 |
| 90648 |
|
47 |
45 |
$183.62 |
| 99497 |
|
30 |
29 |
$181.49 |
| 74022 |
|
13 |
12 |
$180.80 |
| 90682 |
|
13 |
13 |
$150.00 |
| 90698 |
|
42 |
39 |
$141.65 |
| 84436 |
|
65 |
55 |
$117.80 |
| 72110 |
|
13 |
12 |
$111.87 |
| 90653 |
|
67 |
67 |
$101.20 |
| 90716 |
|
21 |
14 |
$98.91 |
| 86308 |
|
34 |
27 |
$97.13 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
79 |
73 |
$83.52 |
| 80051 |
|
34 |
33 |
$80.71 |
| 90707 |
|
19 |
13 |
$59.00 |
| 83721 |
|
41 |
36 |
$55.24 |
| 82565 |
|
26 |
25 |
$50.71 |
| 84479 |
|
76 |
66 |
$47.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
105 |
71 |
$41.14 |
| 86430 |
|
58 |
43 |
$35.73 |
| 80076 |
|
31 |
28 |
$35.40 |
| 90655 |
|
15 |
12 |
$35.38 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
13 |
$33.41 |
| 84550 |
|
61 |
46 |
$28.60 |
| 91301 |
|
28 |
16 |
$0.04 |
| 96160 |
|
15 |
15 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
143 |
140 |
$0.00 |
| 1101F |
|
34 |
31 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
17 |
14 |
$0.00 |