| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,006 |
52,785 |
$3.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,962 |
14,056 |
$1.22M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,065 |
9,745 |
$600K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,345 |
9,071 |
$564K |
| 90670 |
|
6,944 |
6,730 |
$299K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
6,372 |
6,125 |
$291K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,844 |
4,708 |
$286K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,470 |
6,256 |
$271K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,767 |
3,220 |
$230K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,335 |
3,197 |
$211K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
6,113 |
5,841 |
$154K |
| 90723 |
|
5,716 |
5,569 |
$142K |
| 90648 |
|
7,859 |
7,660 |
$140K |
| 90680 |
|
5,028 |
4,900 |
$126K |
| 90461 |
|
2,363 |
2,186 |
$119K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,857 |
1,802 |
$103K |
| 99460 |
|
1,224 |
1,181 |
$103K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,989 |
1,904 |
$102K |
| 90716 |
|
2,272 |
2,187 |
$64K |
| 90707 |
|
2,285 |
2,201 |
$55K |
| 90633 |
|
2,354 |
2,303 |
$48K |
| 90686 |
|
2,491 |
2,447 |
$47K |
| 90671 |
|
1,032 |
1,016 |
$44K |
| 87634 |
|
568 |
556 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,791 |
2,624 |
$25K |
| 99173 |
|
7,172 |
6,957 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,565 |
2,504 |
$20K |
| 92551 |
|
5,364 |
5,198 |
$19K |
| 99177 |
|
857 |
847 |
$16K |
| 90734 |
|
353 |
350 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
605 |
580 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,069 |
1,017 |
$13K |
| 90685 |
|
386 |
383 |
$8K |
| 87070 |
|
776 |
739 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
261 |
260 |
$7K |
| 90651 |
|
230 |
228 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
44 |
40 |
$7K |
| 90696 |
|
320 |
318 |
$7K |
| 90688 |
|
329 |
320 |
$6K |
| 90700 |
|
285 |
283 |
$6K |
| 90656 |
|
229 |
228 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
136 |
129 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
57 |
52 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
30 |
$3K |
| 83655 |
|
183 |
180 |
$3K |
| 98966 |
|
263 |
254 |
$2K |
| 54150 |
|
17 |
13 |
$2K |
| 96127 |
|
679 |
668 |
$2K |
| 99462 |
|
41 |
38 |
$1K |
| D1206 |
Topical application of fluoride varnish |
72 |
66 |
$1K |
| 90715 |
|
58 |
58 |
$1K |
| 90687 |
|
49 |
49 |
$930.13 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
53 |
53 |
$904.22 |
| 36416 |
|
442 |
434 |
$866.00 |
| 81003 |
|
277 |
258 |
$765.89 |
| D0145 |
Oral evaluation for a patient under three years of age |
34 |
31 |
$726.00 |
| 90647 |
|
31 |
29 |
$708.21 |
| 99050 |
|
13 |
12 |
$277.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$270.00 |
| 96161 |
|
35 |
34 |
$99.96 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
30 |
$38.20 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$17.60 |