| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,692 |
23,020 |
$1.41M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,640 |
2,129 |
$919K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,252 |
3,685 |
$353K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,696 |
3,313 |
$279K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,464 |
2,956 |
$266K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,583 |
2,280 |
$178K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,195 |
6,599 |
$113K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,166 |
2,977 |
$112K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,822 |
2,627 |
$89K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
350 |
319 |
$88K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,637 |
4,920 |
$68K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,899 |
3,319 |
$64K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,500 |
3,066 |
$56K |
| 80050 |
General health panel |
1,079 |
846 |
$52K |
| 87081 |
|
6,009 |
5,376 |
$47K |
| 96127 |
|
3,124 |
2,865 |
$46K |
| 90651 |
|
1,155 |
951 |
$43K |
| 80053 |
Comprehensive metabolic panel |
4,143 |
3,475 |
$43K |
| 36415 |
Collection of venous blood by venipuncture |
8,222 |
6,683 |
$35K |
| 83655 |
|
2,803 |
2,405 |
$33K |
| 92551 |
|
2,078 |
1,902 |
$32K |
| 90686 |
|
2,737 |
2,422 |
$31K |
| 90670 |
|
1,692 |
1,462 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
338 |
$29K |
| 80061 |
Lipid panel |
3,493 |
2,796 |
$27K |
| 90734 |
|
1,091 |
830 |
$26K |
| 99173 |
|
3,196 |
2,975 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,150 |
3,519 |
$24K |
| 81003 |
|
9,243 |
8,199 |
$20K |
| 90698 |
|
1,442 |
1,254 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
701 |
668 |
$17K |
| 90680 |
|
1,273 |
1,099 |
$16K |
| 85018 |
|
6,624 |
5,978 |
$15K |
| 36416 |
|
3,344 |
3,122 |
$14K |
| D1206 |
Topical application of fluoride varnish |
491 |
427 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
102 |
$11K |
| 90677 |
|
283 |
254 |
$11K |
| 99000 |
|
451 |
362 |
$10K |
| 90619 |
|
585 |
530 |
$10K |
| 90744 |
|
840 |
761 |
$9K |
| 90715 |
|
652 |
527 |
$9K |
| 90710 |
|
370 |
348 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
580 |
445 |
$6K |
| 90633 |
|
541 |
463 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
715 |
563 |
$5K |
| 87428 |
|
62 |
59 |
$4K |
| 90696 |
|
270 |
263 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
217 |
164 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
228 |
112 |
$3K |
| 90621 |
|
86 |
70 |
$2K |
| 82465 |
|
512 |
477 |
$2K |
| 84439 |
|
202 |
141 |
$2K |
| 90716 |
|
94 |
86 |
$2K |
| 87088 |
|
140 |
104 |
$2K |
| 90700 |
|
119 |
105 |
$1K |
| 90707 |
|
51 |
46 |
$962.63 |
| 84481 |
|
61 |
40 |
$657.16 |
| 90685 |
|
53 |
46 |
$511.24 |
| A7015 |
Aerosol mask, used with dme nebulizer |
209 |
94 |
$492.04 |
| 87147 |
|
97 |
71 |
$350.20 |
| 90648 |
|
33 |
29 |
$300.80 |
| 99051 |
|
73 |
67 |
$284.50 |
| 86800 |
|
23 |
13 |
$271.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
200 |
81 |
$261.99 |
| 83525 |
|
17 |
12 |
$150.62 |
| 87070 |
|
15 |
15 |
$93.00 |
| 86140 |
|
14 |
13 |
$65.80 |
| 94760 |
|
119 |
92 |
$46.20 |
| 85652 |
|
14 |
13 |
$36.68 |
| 99072 |
|
184 |
159 |
$21.25 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
125 |
36 |
$5.47 |
| 1036F |
|
768 |
519 |
$0.00 |
| 1003F |
|
1,471 |
1,009 |
$0.00 |
| 1040F |
|
599 |
357 |
$0.00 |