| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,535 |
41,501 |
$2.86M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,661 |
5,125 |
$440K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,185 |
4,985 |
$353K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,029 |
4,849 |
$341K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,356 |
4,671 |
$333K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,801 |
3,664 |
$289K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,490 |
20,774 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,335 |
3,128 |
$255K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,616 |
10,158 |
$159K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,333 |
7,068 |
$157K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,384 |
3,032 |
$148K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,752 |
7,100 |
$145K |
| 92552 |
|
4,845 |
4,618 |
$112K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,054 |
950 |
$71K |
| 92587 |
|
4,210 |
4,044 |
$69K |
| 99173 |
|
8,112 |
7,656 |
$52K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,099 |
2,919 |
$42K |
| 83655 |
|
2,655 |
2,551 |
$38K |
| 99188 |
|
1,542 |
1,491 |
$36K |
| 90474 |
|
2,397 |
2,340 |
$28K |
| 80061 |
Lipid panel |
1,696 |
1,615 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
354 |
190 |
$19K |
| 85018 |
|
3,602 |
3,442 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
1,674 |
1,591 |
$18K |
| 99217 |
|
300 |
289 |
$18K |
| 99460 |
|
262 |
238 |
$17K |
| 90670 |
|
3,633 |
3,538 |
$16K |
| 99383 |
|
210 |
203 |
$16K |
| 83718 |
|
1,447 |
1,391 |
$15K |
| 99462 |
|
419 |
225 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
140 |
123 |
$14K |
| 99219 |
|
151 |
146 |
$13K |
| 99225 |
|
217 |
177 |
$13K |
| 82947 |
|
1,688 |
1,626 |
$12K |
| 90648 |
|
2,667 |
2,591 |
$12K |
| 82465 |
|
1,511 |
1,448 |
$12K |
| 90686 |
|
1,419 |
1,342 |
$12K |
| 99401 |
|
276 |
244 |
$12K |
| 99381 |
|
175 |
167 |
$11K |
| 90680 |
|
2,367 |
2,311 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
350 |
336 |
$11K |
| 90633 |
|
1,846 |
1,785 |
$11K |
| 90734 |
|
1,492 |
1,427 |
$9K |
| 87807 |
|
565 |
520 |
$8K |
| 90723 |
|
1,832 |
1,797 |
$8K |
| 90649 |
|
506 |
494 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
83 |
$7K |
| 92567 |
|
333 |
317 |
$6K |
| 99220 |
|
37 |
33 |
$5K |
| 90620 |
|
860 |
822 |
$5K |
| 81003 |
|
320 |
297 |
$5K |
| 90715 |
|
723 |
689 |
$4K |
| 99384 |
|
48 |
44 |
$4K |
| 90698 |
|
632 |
612 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
401 |
316 |
$3K |
| 90700 |
|
472 |
452 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
34 |
32 |
$3K |
| 90707 |
|
467 |
457 |
$3K |
| 90710 |
|
706 |
670 |
$3K |
| 92551 |
|
122 |
104 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
63 |
$2K |
| 90685 |
|
242 |
238 |
$2K |
| 90716 |
|
429 |
420 |
$2K |
| 99382 |
|
29 |
28 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$774.47 |
| 90696 |
|
508 |
481 |
$758.65 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
17 |
$622.89 |
| 90473 |
|
13 |
13 |
$121.89 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
16 |
$20.74 |
| 90672 |
|
63 |
53 |
$0.00 |
| 90651 |
|
653 |
603 |
$0.00 |