| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102,197 |
90,579 |
$4.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,307 |
72,817 |
$2.81M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
19,163 |
18,135 |
$1.54M |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27,465 |
26,308 |
$925K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16,301 |
15,425 |
$736K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14,495 |
13,920 |
$456K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,783 |
8,276 |
$339K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,231 |
4,008 |
$288K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,662 |
3,455 |
$248K |
| 99215 |
Prolong outpt/office vis |
2,452 |
2,174 |
$177K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,235 |
2,130 |
$166K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,145 |
10,324 |
$115K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,061 |
16,353 |
$95K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,489 |
4,604 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,369 |
1,212 |
$79K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,215 |
5,735 |
$75K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,538 |
6,020 |
$70K |
| 36415 |
Collection of venous blood by venipuncture |
37,160 |
32,710 |
$53K |
| 81002 |
|
11,803 |
11,103 |
$29K |
| 99177 |
|
3,539 |
3,342 |
$26K |
| 80061 |
Lipid panel |
6,291 |
5,444 |
$23K |
| 20610 |
|
721 |
444 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,541 |
1,397 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
426 |
367 |
$19K |
| 99406 |
|
2,905 |
2,568 |
$17K |
| 99490 |
Ccm add 20min |
1,059 |
1,012 |
$17K |
| 96161 |
|
912 |
796 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
177 |
168 |
$12K |
| 90674 |
|
624 |
588 |
$9K |
| 80050 |
General health panel |
491 |
433 |
$7K |
| 96127 |
|
1,055 |
989 |
$7K |
| 83655 |
|
474 |
457 |
$6K |
| 90686 |
|
1,387 |
1,278 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
101 |
96 |
$6K |
| 92551 |
|
794 |
751 |
$5K |
| 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) |
1,860 |
1,421 |
$5K |
| 0012A |
|
139 |
129 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
68 |
$4K |
| 0011A |
|
166 |
147 |
$4K |
| 90688 |
|
824 |
776 |
$4K |
| 80053 |
Comprehensive metabolic panel |
3,711 |
3,201 |
$3K |
| 99443 |
|
140 |
90 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
129 |
$3K |
| 99442 |
|
128 |
91 |
$3K |
| 90677 |
|
62 |
55 |
$3K |
| 93000 |
|
285 |
266 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,327 |
1,145 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,427 |
2,101 |
$2K |
| 90651 |
|
293 |
274 |
$2K |
| 99459 |
|
170 |
143 |
$2K |
| 82044 |
|
817 |
711 |
$2K |
| 82570 |
|
851 |
735 |
$1K |
| 90734 |
|
165 |
150 |
$1K |
| 87420 |
|
106 |
100 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
104 |
96 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,563 |
1,417 |
$991.42 |
| 99496 |
|
27 |
24 |
$955.09 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
587 |
522 |
$838.99 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
102 |
74 |
$678.10 |
| 3078F |
|
58,366 |
52,721 |
$660.00 |
| 90661 |
|
82 |
73 |
$658.47 |
| 0013A |
|
32 |
25 |
$642.00 |
| 3074F |
|
53,472 |
48,371 |
$580.00 |
| 90670 |
|
653 |
605 |
$440.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,176 |
1,068 |
$439.77 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
22 |
$417.12 |
| 90716 |
|
86 |
82 |
$260.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
166 |
146 |
$246.00 |
| 82607 |
|
49 |
44 |
$204.53 |
| 96160 |
|
13 |
12 |
$185.24 |
| 3079F |
|
11,705 |
10,638 |
$170.00 |
| G0008 |
Administration of influenza virus vaccine |
559 |
512 |
$132.07 |
| 90715 |
|
68 |
61 |
$112.80 |
| 82746 |
|
30 |
25 |
$112.06 |
| 90648 |
|
777 |
733 |
$107.70 |
| 90707 |
|
129 |
124 |
$80.00 |
| 90662 |
|
210 |
191 |
$55.00 |
| 3077F |
|
5,231 |
4,720 |
$40.00 |
| 85610 |
|
82 |
47 |
$27.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
14 |
$27.10 |
| 3725F |
|
146,570 |
132,576 |
$25.00 |
| 1036F |
|
62,585 |
55,920 |
$25.00 |
| 82728 |
|
12 |
12 |
$24.86 |
| 83550 |
|
12 |
12 |
$15.93 |
| 83540 |
|
12 |
12 |
$11.82 |
| 3075F |
|
6,099 |
5,569 |
$10.00 |
| 91301 |
|
399 |
338 |
$0.24 |
| 90681 |
|
45 |
41 |
$0.00 |
| 3050F |
|
1,375 |
1,171 |
$0.00 |
| 1159F |
|
2,560 |
2,095 |
$0.00 |
| 3046F |
|
131 |
108 |
$0.00 |
| 1160F |
|
1,499 |
1,153 |
$0.00 |
| 3045F |
|
315 |
251 |
$0.00 |
| 1100F |
|
333 |
262 |
$0.00 |
| 90685 |
|
30 |
27 |
$0.00 |
| G9920 |
Screening performed and negative |
29 |
29 |
$0.00 |
| 90633 |
|
184 |
173 |
$0.00 |
| 3008F |
|
185,107 |
167,630 |
$0.00 |
| 4010F |
|
22,830 |
20,302 |
$0.00 |
| 3048F |
|
34,140 |
30,603 |
$0.00 |
| 1034F |
|
24,346 |
21,839 |
$0.00 |
| 1031F |
|
21,471 |
18,867 |
$0.00 |
| 3044F |
|
16,694 |
14,704 |
$0.00 |
| 1123F |
|
951 |
831 |
$0.00 |
| 3049F |
|
5,312 |
4,656 |
$0.00 |
| 90723 |
|
269 |
251 |
$0.00 |
| 1101F |
|
1,114 |
863 |
$0.00 |
| 3080F |
|
515 |
464 |
$0.00 |
| 2023F |
|
29 |
28 |
$0.00 |