| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
372,791 |
336,396 |
$12.30M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
213,570 |
202,164 |
$6.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
226,605 |
207,343 |
$5.43M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57,545 |
56,638 |
$3.45M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55,499 |
54,887 |
$3.14M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
293,743 |
151,154 |
$2.13M |
| 87400 |
|
205,391 |
99,012 |
$1.52M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28,318 |
27,832 |
$1.49M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108,411 |
64,107 |
$1.26M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113,968 |
108,491 |
$1.05M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14,299 |
13,918 |
$756K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,588 |
8,046 |
$517K |
| 99429 |
|
16,997 |
16,637 |
$392K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,641 |
7,576 |
$281K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
5,498 |
5,226 |
$242K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,398 |
3,245 |
$216K |
| 99000 |
|
25,725 |
24,096 |
$168K |
| 99381 |
|
2,099 |
2,072 |
$163K |
| 99384 |
|
1,977 |
1,896 |
$161K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28,887 |
21,638 |
$160K |
| 80053 |
Comprehensive metabolic panel |
25,515 |
24,585 |
$157K |
| 90461 |
|
49,986 |
40,093 |
$140K |
| 80061 |
Lipid panel |
19,900 |
19,315 |
$132K |
| 99383 |
|
1,515 |
1,499 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,789 |
5,668 |
$119K |
| 87807 |
|
13,515 |
12,634 |
$94K |
| 96160 |
|
73,339 |
71,842 |
$88K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15,414 |
14,948 |
$83K |
| 99091 |
|
722 |
656 |
$81K |
| 99382 |
|
771 |
743 |
$65K |
| 99385 |
|
1,154 |
1,119 |
$64K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,848 |
5,170 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,894 |
3,664 |
$34K |
| 90686 |
|
62,107 |
60,864 |
$34K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,507 |
3,406 |
$31K |
| 81003 |
|
18,920 |
17,680 |
$25K |
| 0071A |
|
787 |
785 |
$25K |
| 0072A |
|
485 |
484 |
$16K |
| 0001A |
|
439 |
433 |
$15K |
| 83013 |
|
342 |
329 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
481 |
472 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
187 |
177 |
$11K |
| 0002A |
|
282 |
281 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,763 |
1,691 |
$9K |
| 85027 |
|
2,655 |
2,539 |
$9K |
| 97169 |
|
1,004 |
989 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,651 |
1,553 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
542 |
538 |
$7K |
| 82044 |
|
1,657 |
1,590 |
$6K |
| 82570 |
|
1,659 |
1,592 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
474 |
462 |
$5K |
| 83655 |
|
955 |
909 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
177 |
174 |
$5K |
| 90651 |
|
25,126 |
24,776 |
$4K |
| 81025 |
|
913 |
880 |
$4K |
| 94375 |
|
202 |
190 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
440 |
395 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
192 |
190 |
$3K |
| 92567 |
|
324 |
284 |
$3K |
| 87428 |
|
200 |
196 |
$3K |
| 90656 |
|
7,235 |
7,158 |
$2K |
| 90620 |
|
3,830 |
3,740 |
$2K |
| 90734 |
|
9,331 |
9,113 |
$2K |
| 99050 |
|
290 |
263 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
595 |
588 |
$1K |
| 83014 |
|
317 |
305 |
$1K |
| 94760 |
|
2,275 |
2,188 |
$981.87 |
| 93000 |
|
92 |
90 |
$852.91 |
| 85018 |
|
682 |
670 |
$843.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
175 |
101 |
$842.39 |
| 0011A |
|
160 |
159 |
$751.98 |
| 3074F |
|
26,906 |
22,932 |
$650.03 |
| 92551 |
|
5,613 |
5,552 |
$629.91 |
| 92552 |
|
114 |
113 |
$553.98 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,064 |
985 |
$449.56 |
| 94060 |
|
32 |
29 |
$443.84 |
| 99490 |
Ccm add 20min |
62 |
62 |
$423.70 |
| 69210 |
|
13 |
12 |
$367.81 |
| 90480 |
|
13 |
13 |
$366.00 |
| 0052A |
|
12 |
12 |
$360.00 |
| 0012A |
|
133 |
133 |
$262.89 |
| 99406 |
|
29 |
26 |
$208.48 |
| 90619 |
|
2,510 |
2,487 |
$178.09 |
| 99349 |
|
33 |
28 |
$175.78 |
| 96380 |
|
16 |
16 |
$165.12 |
| 90715 |
|
2,712 |
2,659 |
$162.92 |
| 90670 |
|
6,520 |
6,422 |
$120.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
194 |
181 |
$109.01 |
| 99343 |
|
34 |
34 |
$108.35 |
| 0013A |
|
13 |
13 |
$80.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
536 |
485 |
$66.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
541 |
528 |
$60.53 |
| 98960 |
|
90 |
78 |
$50.30 |
| 90660 |
|
227 |
224 |
$38.50 |
| 3075F |
|
1,713 |
1,553 |
$25.01 |
| 3077F |
|
1,301 |
1,143 |
$25.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
110,239 |
107,969 |
$24.74 |
| 99080 |
|
152 |
150 |
$19.09 |
| 69209 |
|
14 |
13 |
$11.36 |
| 90677 |
|
1,953 |
1,921 |
$7.35 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
225 |
202 |
$5.58 |
| 90697 |
|
1,281 |
1,255 |
$0.63 |
| 92558 |
|
33 |
33 |
$0.09 |
| 90621 |
|
627 |
624 |
$0.05 |
| 3078F |
|
21,272 |
18,299 |
$0.04 |
| 3008F |
|
43,810 |
42,831 |
$0.01 |
| 90716 |
|
1,713 |
1,696 |
$0.01 |
| 91307 |
|
1,817 |
1,724 |
$0.00 |
| 90696 |
|
980 |
974 |
$0.00 |
| 90723 |
|
2,457 |
2,421 |
$0.00 |
| 3079F |
|
8,747 |
7,776 |
$0.00 |
| 1111F |
|
267 |
226 |
$0.00 |
| 90680 |
|
1,096 |
1,076 |
$0.00 |
| 1030F |
|
4,670 |
4,278 |
$0.00 |
| 36416 |
|
1,758 |
1,677 |
$0.00 |
| 3080F |
|
549 |
496 |
$0.00 |
| 90744 |
|
67 |
65 |
$0.00 |
| 1170F |
|
202 |
167 |
$0.00 |
| 1126F |
|
32 |
28 |
$0.00 |
| 4037F |
|
1,159 |
1,139 |
$0.00 |
| 3044F |
|
129 |
112 |
$0.00 |
| 90698 |
|
174 |
174 |
$0.00 |
| 91305 |
|
135 |
134 |
$0.00 |
| 91301 |
|
89 |
88 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 90688 |
|
97 |
84 |
$0.00 |
| 97802 |
|
732 |
716 |
$0.00 |
| 96127 |
|
248 |
246 |
$0.00 |
| 1036F |
|
21 |
18 |
$0.00 |
| 99441 |
|
115 |
115 |
$0.00 |
| A9150 |
Non-prescription drugs |
12 |
12 |
$0.00 |
| 4010F |
|
20 |
16 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
42 |
$0.00 |
| 99489 |
Ccm add 20min |
16 |
16 |
$0.00 |
| 90633 |
|
4,757 |
4,670 |
$0.00 |
| 99173 |
|
9,424 |
9,302 |
$0.00 |
| 4274F |
|
1,212 |
1,101 |
$0.00 |
| 90707 |
|
1,718 |
1,705 |
$0.00 |
| 90648 |
|
4,526 |
4,456 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
1,754 |
1,623 |
$0.00 |
| 90710 |
|
1,603 |
1,568 |
$0.00 |
| 91300 |
|
1,006 |
926 |
$0.00 |
| 90681 |
|
651 |
639 |
$0.00 |
| 90700 |
|
434 |
418 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
285 |
269 |
$0.00 |
| 1159F |
|
210 |
172 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
399 |
370 |
$0.00 |
| 1160F |
|
210 |
172 |
$0.00 |
| G9498 |
Antibiotic regimen prescribed |
69 |
63 |
$0.00 |
| 90649 |
|
303 |
287 |
$0.00 |
| 90756 |
|
34 |
34 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 3015F |
|
45 |
40 |
$0.00 |
| 4551F |
|
129 |
106 |
$0.00 |
| 3725F |
|
76 |
75 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
169 |
163 |
$0.00 |
| 99051 |
|
40 |
38 |
$0.00 |
| 2021F |
|
13 |
12 |
$0.00 |