| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,299 |
6,064 |
$525K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,510 |
4,969 |
$328K |
| 99215 |
Prolong outpt/office vis |
4,454 |
3,065 |
$286K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,348 |
1,247 |
$139K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,885 |
2,598 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,175 |
1,083 |
$77K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
967 |
907 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
908 |
881 |
$67K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,437 |
2,062 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
749 |
707 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
833 |
781 |
$35K |
| 87634 |
|
527 |
499 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
373 |
365 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,261 |
2,112 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
420 |
374 |
$28K |
| 90670 |
|
556 |
523 |
$16K |
| 90651 |
|
323 |
308 |
$16K |
| 92551 |
|
1,713 |
1,618 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
430 |
413 |
$15K |
| 90686 |
|
1,077 |
1,048 |
$13K |
| 99383 |
|
165 |
152 |
$13K |
| 99382 |
|
123 |
116 |
$9K |
| 99384 |
|
85 |
79 |
$7K |
| 99401 |
|
379 |
298 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,203 |
2,977 |
$6K |
| 90688 |
|
479 |
470 |
$5K |
| 90734 |
|
182 |
172 |
$5K |
| 0071A |
|
118 |
117 |
$5K |
| 90633 |
|
337 |
324 |
$4K |
| 80305 |
|
637 |
478 |
$4K |
| 0072A |
|
102 |
99 |
$4K |
| 90681 |
|
208 |
195 |
$4K |
| 90698 |
|
240 |
223 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
83 |
$3K |
| 99381 |
|
41 |
35 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
432 |
298 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
575 |
308 |
$2K |
| 90700 |
|
206 |
199 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,526 |
1,341 |
$2K |
| 96127 |
|
441 |
432 |
$2K |
| 90710 |
|
67 |
63 |
$2K |
| 90716 |
|
72 |
67 |
$1K |
| 91320 |
|
14 |
14 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
234 |
188 |
$1K |
| 90744 |
|
90 |
85 |
$1K |
| 81002 |
|
382 |
346 |
$956.69 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
169 |
144 |
$771.62 |
| 87807 |
|
58 |
58 |
$760.50 |
| 84443 |
Thyroid stimulating hormone (TSH) |
126 |
102 |
$706.75 |
| 80061 |
Lipid panel |
127 |
104 |
$627.11 |
| 90707 |
|
45 |
43 |
$615.98 |
| 90621 |
|
29 |
27 |
$578.30 |
| 99490 |
Ccm add 20min |
96 |
65 |
$534.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
172 |
$506.15 |
| 90620 |
|
15 |
13 |
$494.49 |
| 0011A |
|
13 |
13 |
$484.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
24 |
15 |
$440.40 |
| 80076 |
|
123 |
101 |
$432.35 |
| 84439 |
|
126 |
102 |
$381.38 |
| 90480 |
|
28 |
26 |
$339.00 |
| 99173 |
|
142 |
138 |
$326.04 |
| 90685 |
|
31 |
30 |
$294.77 |
| 90713 |
|
30 |
25 |
$273.97 |
| 82607 |
|
70 |
55 |
$270.68 |
| 82746 |
|
64 |
51 |
$268.22 |
| 90630 |
|
25 |
25 |
$237.02 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
30 |
27 |
$219.73 |
| 90715 |
|
12 |
12 |
$164.56 |
| 90648 |
|
12 |
12 |
$132.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
15 |
$108.19 |
| 99051 |
|
26 |
23 |
$105.00 |
| 84481 |
|
43 |
37 |
$96.60 |
| 99310 |
Prolong nursin fac eval 15m |
32 |
26 |
$92.05 |
| 90756 |
|
15 |
14 |
$86.77 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
118 |
78 |
$62.61 |
| 99497 |
|
30 |
14 |
$38.10 |
| 80053 |
Comprehensive metabolic panel |
30 |
23 |
$24.42 |
| 83615 |
|
12 |
12 |
$24.16 |
| 82977 |
|
12 |
12 |
$21.60 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
165 |
90 |
$8.79 |
| 91307 |
|
269 |
243 |
$1.80 |
| G0008 |
Administration of influenza virus vaccine |
28 |
24 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
78 |
51 |
$0.00 |
| 83735 |
|
15 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
21 |
17 |
$0.00 |