| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
1,794,580 |
1,732,313 |
$8.86M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,918 |
3,168 |
$398K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,973 |
13,905 |
$218K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,092 |
7,536 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,543 |
2,163 |
$179K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,304 |
4,181 |
$147K |
| T1002 |
Rn services, up to 15 minutes |
3,325 |
2,397 |
$135K |
| 90716 |
|
1,427 |
1,227 |
$68K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
526 |
452 |
$62K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,264 |
1,957 |
$59K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,265 |
1,956 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
958 |
840 |
$46K |
| 99401 |
|
2,031 |
1,220 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
380 |
297 |
$41K |
| 0001A |
|
712 |
658 |
$36K |
| 87210 |
|
7,542 |
6,278 |
$33K |
| 81025 |
|
4,492 |
3,744 |
$32K |
| 36415 |
Collection of venous blood by venipuncture |
11,219 |
9,534 |
$31K |
| 0002A |
|
583 |
545 |
$30K |
| 90715 |
|
3,636 |
2,958 |
$29K |
| 90734 |
|
4,676 |
3,546 |
$23K |
| 96127 |
|
4,171 |
3,581 |
$23K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,040 |
921 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
993 |
793 |
$20K |
| 90707 |
|
864 |
760 |
$20K |
| 99501 |
|
376 |
312 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
89 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
420 |
353 |
$16K |
| 0012A |
|
321 |
289 |
$14K |
| 99502 |
|
244 |
241 |
$14K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
387 |
360 |
$14K |
| 99385 |
|
95 |
79 |
$13K |
| 90686 |
|
3,298 |
2,822 |
$13K |
| 0011A |
|
353 |
312 |
$13K |
| 90649 |
|
749 |
675 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
105 |
$11K |
| 99383 |
|
127 |
116 |
$10K |
| 90620 |
|
451 |
359 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,870 |
1,673 |
$9K |
| 90746 |
|
173 |
152 |
$8K |
| 85027 |
|
1,101 |
979 |
$8K |
| 90651 |
|
576 |
432 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
710 |
669 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
382 |
329 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
67 |
$6K |
| 90480 |
|
200 |
133 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
54 |
$5K |
| 0003A |
|
70 |
62 |
$4K |
| 0031A |
|
60 |
57 |
$3K |
| 96160 |
|
562 |
503 |
$2K |
| 90474 |
|
144 |
132 |
$2K |
| 91320 |
|
72 |
41 |
$2K |
| 0072A |
|
28 |
27 |
$1K |
| 99384 |
|
13 |
12 |
$1K |
| 0013A |
|
23 |
18 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 80061 |
Lipid panel |
78 |
75 |
$1K |
| 90656 |
|
155 |
140 |
$1K |
| 90670 |
|
1,291 |
1,148 |
$1K |
| 90714 |
|
65 |
53 |
$1K |
| 90710 |
|
973 |
846 |
$1K |
| 90633 |
|
1,412 |
1,259 |
$1K |
| 0064A |
|
17 |
16 |
$951.00 |
| 96161 |
|
289 |
259 |
$946.22 |
| 99442 |
|
20 |
19 |
$805.00 |
| 0124A |
|
32 |
19 |
$780.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
79 |
79 |
$778.96 |
| 86701 |
|
90 |
88 |
$735.00 |
| 90713 |
|
212 |
188 |
$709.02 |
| 86592 |
|
101 |
100 |
$478.20 |
| 90744 |
|
649 |
583 |
$229.70 |
| 90677 |
|
52 |
45 |
$67.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
14 |
$61.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
184 |
128 |
$58.25 |
| 81003 |
|
14 |
14 |
$37.49 |
| 94760 |
|
19 |
17 |
$10.65 |
| 91312 |
|
32 |
19 |
$9.56 |
| 90700 |
|
339 |
325 |
$0.00 |
| 91300 |
|
1,464 |
1,294 |
$0.00 |
| 90687 |
|
112 |
110 |
$0.00 |
| 99173 |
|
16 |
12 |
$0.00 |
| 90685 |
|
56 |
55 |
$0.00 |
| 90696 |
|
453 |
381 |
$0.00 |
| 91301 |
|
725 |
644 |
$0.00 |
| 90698 |
|
541 |
480 |
$0.00 |
| 90680 |
|
155 |
145 |
$0.00 |
| 99000 |
|
27 |
27 |
$0.00 |
| 90619 |
|
488 |
433 |
$0.00 |
| 90647 |
|
45 |
45 |
$0.00 |
| 91307 |
|
68 |
52 |
$0.00 |
| 91303 |
|
69 |
62 |
$0.00 |
| 92587 |
|
16 |
12 |
$0.00 |
| 91309 |
|
19 |
18 |
$0.00 |
| 90723 |
|
27 |
26 |
$0.00 |