| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,477 |
17,344 |
$391K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,650 |
4,762 |
$380K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,179 |
4,328 |
$379K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,096 |
6,071 |
$289K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,820 |
20,817 |
$276K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,388 |
3,453 |
$264K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,236 |
10,068 |
$246K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,154 |
2,605 |
$241K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,312 |
2,137 |
$186K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,109 |
2,636 |
$140K |
| 99429 |
|
5,439 |
4,688 |
$122K |
| 99381 |
|
1,137 |
787 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,149 |
5,040 |
$55K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,686 |
1,604 |
$49K |
| S8301 |
Infection control supplies, not otherwise specified |
8,991 |
8,071 |
$26K |
| 90461 |
|
6,900 |
4,930 |
$23K |
| 99383 |
|
243 |
217 |
$20K |
| 0071A |
|
396 |
386 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
219 |
168 |
$16K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,742 |
1,243 |
$14K |
| 99382 |
|
158 |
150 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
874 |
832 |
$6K |
| 96160 |
|
28,737 |
17,921 |
$6K |
| 0001A |
|
163 |
155 |
$5K |
| 90671 |
|
1,621 |
1,172 |
$5K |
| 99384 |
|
43 |
42 |
$5K |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
11,429 |
9,201 |
$4K |
| 87807 |
|
302 |
267 |
$3K |
| 90619 |
|
588 |
421 |
$3K |
| 92551 |
|
10,595 |
8,638 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
473 |
459 |
$3K |
| 0002A |
|
76 |
72 |
$3K |
| 90651 |
|
1,308 |
1,099 |
$3K |
| 90620 |
|
722 |
607 |
$2K |
| 0054A |
|
47 |
36 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
312 |
282 |
$1K |
| 96380 |
|
119 |
76 |
$830.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
129 |
66 |
$629.08 |
| 90686 |
|
2,167 |
1,778 |
$585.66 |
| 81002 |
|
558 |
529 |
$547.62 |
| 0051A |
|
13 |
13 |
$520.00 |
| 0081A |
|
14 |
14 |
$499.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,398 |
2,079 |
$437.32 |
| 90688 |
|
2,172 |
2,065 |
$404.96 |
| 90734 |
|
556 |
513 |
$328.69 |
| 90715 |
|
457 |
392 |
$105.15 |
| 96161 |
|
676 |
553 |
$37.20 |
| 90656 |
|
513 |
453 |
$19.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
285 |
258 |
$1.72 |
| 96127 |
|
2,528 |
2,001 |
$0.00 |
| 90680 |
|
2,493 |
2,012 |
$0.00 |
| 90697 |
|
1,781 |
1,363 |
$0.00 |
| 91307 |
|
420 |
405 |
$0.00 |
| 90696 |
|
631 |
534 |
$0.00 |
| 90723 |
|
649 |
566 |
$0.00 |
| 90716 |
|
232 |
179 |
$0.00 |
| 90698 |
|
210 |
197 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
363 |
354 |
$0.00 |
| 91305 |
|
78 |
65 |
$0.00 |
| 90381 |
|
33 |
32 |
$0.00 |
| 90670 |
|
1,903 |
1,718 |
$0.00 |
| 90710 |
|
1,154 |
1,003 |
$0.00 |
| 99173 |
|
12,472 |
10,150 |
$0.00 |
| 90700 |
|
725 |
616 |
$0.00 |
| 90707 |
|
212 |
164 |
$0.00 |
| 90648 |
|
1,382 |
1,200 |
$0.00 |
| 90633 |
|
1,828 |
1,567 |
$0.00 |
| 94664 |
|
890 |
818 |
$0.00 |
| 91300 |
|
317 |
296 |
$0.00 |
| 91308 |
|
63 |
60 |
$0.00 |
| 99188 |
|
55 |
27 |
$0.00 |