| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,270 |
12,919 |
$607K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,374 |
5,766 |
$478K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,356 |
6,573 |
$363K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,983 |
3,902 |
$199K |
| 99199 |
Unlisted special service, procedure or report |
54,006 |
53,549 |
$188K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,873 |
4,132 |
$85K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
970 |
516 |
$65K |
| 87428 |
|
1,225 |
1,100 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
840 |
486 |
$56K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
752 |
561 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,858 |
4,052 |
$40K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,934 |
1,235 |
$35K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,788 |
3,577 |
$19K |
| 87631 |
|
434 |
210 |
$12K |
| T1015 |
Clinic visit/encounter, all-inclusive |
899 |
612 |
$11K |
| 93000 |
|
1,304 |
1,081 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
384 |
350 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
608 |
477 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
48 |
27 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
79 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
135 |
128 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
95 |
53 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,663 |
616 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35 |
33 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
164 |
129 |
$2K |
| 87807 |
|
146 |
90 |
$1K |
| 99383 |
|
13 |
12 |
$1K |
| 93351 |
|
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
90 |
66 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
24 |
$861.35 |
| 99442 |
|
30 |
13 |
$679.70 |
| 81003 |
|
446 |
308 |
$674.91 |
| 36415 |
Collection of venous blood by venipuncture |
812 |
388 |
$597.01 |
| 20610 |
|
15 |
12 |
$422.36 |
| 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) |
189 |
176 |
$375.53 |
| 92552 |
|
32 |
17 |
$329.48 |
| 99053 |
|
38 |
13 |
$112.04 |
| 96127 |
|
81 |
36 |
$99.42 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
26 |
16 |
$20.21 |
| 99173 |
|
422 |
374 |
$8.08 |
| 3078F |
|
139 |
122 |
$0.01 |
| 3077F |
|
53 |
48 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 81002 |
|
19 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$0.00 |
| 3079F |
|
77 |
72 |
$0.00 |
| 92551 |
|
75 |
68 |
$0.00 |
| J3590 |
Unclassified biologics |
66 |
50 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
31 |
$0.00 |
| 3008F |
|
13 |
12 |
$0.00 |
| 3074F |
|
131 |
123 |
$0.00 |
| 90688 |
|
14 |
13 |
$0.00 |
| A9150 |
Non-prescription drugs |
22 |
13 |
$0.00 |