| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,255 |
21,583 |
$458K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,143 |
8,057 |
$403K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,720 |
3,704 |
$306K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,050 |
28,496 |
$282K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
7,165 |
7,139 |
$214K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
25,567 |
25,479 |
$185K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,991 |
11,109 |
$137K |
| 96127 |
|
12,788 |
12,375 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29,289 |
14,945 |
$106K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,975 |
9,915 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,829 |
3,806 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,781 |
4,776 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
804 |
798 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,665 |
4,661 |
$29K |
| 99188 |
|
1,010 |
995 |
$28K |
| 87634 |
|
415 |
414 |
$25K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
619 |
616 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
607 |
605 |
$19K |
| 90461 |
|
277 |
277 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
912 |
906 |
$17K |
| 99215 |
Prolong outpt/office vis |
171 |
163 |
$15K |
| 99050 |
|
7,626 |
7,546 |
$14K |
| 90480 |
|
387 |
384 |
$14K |
| 80061 |
Lipid panel |
1,183 |
1,165 |
$8K |
| 0012A |
|
264 |
264 |
$8K |
| 99460 |
|
67 |
67 |
$7K |
| 87081 |
|
658 |
655 |
$7K |
| 0011A |
|
270 |
270 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,330 |
2,329 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,731 |
1,703 |
$6K |
| 81003 |
|
2,148 |
2,098 |
$4K |
| 99462 |
|
94 |
86 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
94 |
50 |
$4K |
| 99177 |
|
1,008 |
1,008 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
64 |
64 |
$4K |
| 83655 |
|
144 |
144 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
12 |
$2K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
30 |
14 |
$2K |
| 96380 |
|
96 |
95 |
$2K |
| 90691 |
|
21 |
21 |
$2K |
| 69210 |
|
37 |
36 |
$1K |
| 90686 |
|
1,237 |
1,233 |
$950.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,659 |
1,656 |
$809.75 |
| 99051 |
|
863 |
862 |
$671.01 |
| 0173A |
|
14 |
14 |
$642.18 |
| 94760 |
|
359 |
344 |
$493.00 |
| 83718 |
|
37 |
37 |
$474.89 |
| 92587 |
|
24 |
24 |
$405.36 |
| 90656 |
|
1,748 |
1,729 |
$371.49 |
| 99173 |
|
720 |
720 |
$363.28 |
| 94010 |
|
12 |
12 |
$341.76 |
| 90651 |
|
243 |
243 |
$293.16 |
| 82465 |
|
37 |
37 |
$252.16 |
| ATP03 |
|
35 |
34 |
$232.90 |
| 82948 |
|
37 |
37 |
$160.20 |
| 84703 |
|
26 |
25 |
$159.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$35.70 |
| 90661 |
|
449 |
449 |
$32.97 |
| 90633 |
|
363 |
360 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$0.00 |
| 90658 |
|
188 |
188 |
$0.00 |
| 99072 |
|
89 |
84 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 91300 |
|
29 |
27 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90697 |
|
979 |
974 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90619 |
|
153 |
151 |
$0.00 |
| 90677 |
|
1,513 |
1,505 |
$0.00 |
| 90680 |
|
891 |
887 |
$0.00 |
| 91301 |
|
585 |
580 |
$0.00 |
| 90688 |
|
329 |
329 |
$0.00 |
| 36416 |
|
243 |
238 |
$0.00 |
| 90698 |
|
36 |
36 |
$0.00 |
| 90381 |
|
43 |
42 |
$0.00 |
| 99402 |
|
13 |
13 |
$0.00 |