| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,891 |
11,939 |
$436K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,586 |
9,082 |
$165K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,227 |
1,185 |
$165K |
| 87428 |
|
2,764 |
2,538 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,306 |
2,044 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,420 |
1,306 |
$67K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,503 |
2,091 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
798 |
718 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
648 |
634 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
422 |
416 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,983 |
1,902 |
$26K |
| 99000 |
|
2,810 |
2,523 |
$24K |
| 90619 |
|
2,059 |
2,023 |
$16K |
| 96112 |
|
151 |
144 |
$15K |
| 90461 |
|
2,070 |
1,680 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,188 |
998 |
$13K |
| 0001A |
|
335 |
335 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
308 |
265 |
$10K |
| 0002A |
|
288 |
288 |
$8K |
| 87430 |
|
568 |
549 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
348 |
335 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
895 |
816 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
532 |
239 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
83 |
$6K |
| 0012A |
|
426 |
420 |
$5K |
| 99384 |
|
49 |
41 |
$4K |
| 0011A |
|
513 |
504 |
$4K |
| 91322 |
|
123 |
121 |
$3K |
| 0071A |
|
64 |
64 |
$2K |
| 0004A |
|
77 |
76 |
$2K |
| 90674 |
|
643 |
639 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| 81025 |
|
316 |
264 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
63 |
60 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
41 |
39 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 90480 |
|
169 |
167 |
$1K |
| 87807 |
|
119 |
109 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
12 |
$965.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
79 |
$939.77 |
| 81003 |
|
410 |
387 |
$713.86 |
| 0124A |
|
31 |
29 |
$680.00 |
| 81002 |
|
265 |
233 |
$650.84 |
| 90620 |
|
237 |
232 |
$614.36 |
| 90734 |
|
1,784 |
1,723 |
$604.46 |
| 90661 |
|
387 |
387 |
$443.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
365 |
327 |
$308.50 |
| 90677 |
|
20 |
20 |
$271.95 |
| 0003A |
|
71 |
68 |
$200.00 |
| 96160 |
|
131 |
102 |
$155.73 |
| 99324 |
|
195 |
151 |
$154.32 |
| 91320 |
|
39 |
39 |
$131.10 |
| 90694 |
|
29 |
28 |
$64.16 |
| 0013A |
|
12 |
12 |
$50.00 |
| 90715 |
|
2,623 |
2,562 |
$32.93 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
24 |
$31.83 |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
157 |
138 |
$24.19 |
| 91300 |
|
619 |
569 |
$0.62 |
| 91301 |
|
326 |
308 |
$0.45 |
| 90686 |
|
2,219 |
2,154 |
$0.22 |
| 91307 |
|
114 |
112 |
$0.21 |
| 90651 |
|
588 |
560 |
$0.10 |
| 90716 |
|
130 |
130 |
$0.02 |
| 90670 |
|
64 |
61 |
$0.01 |
| 90696 |
|
280 |
280 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,928 |
1,769 |
$0.00 |
| 99050 |
|
81 |
81 |
$0.00 |
| 3074F |
|
492 |
452 |
$0.00 |
| 3079F |
|
55 |
51 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
19 |
19 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
70 |
63 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
144 |
141 |
$0.00 |
| 90656 |
|
37 |
37 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
39 |
24 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90710 |
|
358 |
357 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
7,722 |
6,859 |
$0.00 |
| 90707 |
|
114 |
114 |
$0.00 |
| 90633 |
|
365 |
358 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
33 |
32 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
45 |
27 |
$0.00 |
| 3078F |
|
297 |
280 |
$0.00 |
| 99334 |
|
23 |
23 |
$0.00 |
| 90700 |
|
92 |
90 |
$0.00 |
| 91312 |
|
16 |
15 |
$0.00 |
| 90653 |
|
79 |
77 |
$0.00 |
| 90713 |
|
58 |
58 |
$0.00 |