| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
14,763 |
12,517 |
$1.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,994 |
4,426 |
$383K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,093 |
6,149 |
$344K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,686 |
3,296 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,510 |
3,121 |
$158K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,735 |
5,071 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,211 |
2,037 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,155 |
1,052 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,428 |
1,215 |
$50K |
| 90686 |
|
2,557 |
2,313 |
$42K |
| 87430 |
|
2,923 |
2,633 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,461 |
2,259 |
$32K |
| 90647 |
|
1,708 |
1,614 |
$31K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
636 |
579 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,152 |
2,742 |
$26K |
| 90670 |
|
1,408 |
1,313 |
$25K |
| 90723 |
|
1,038 |
982 |
$19K |
| 87634 |
|
426 |
395 |
$19K |
| 81002 |
|
6,654 |
5,904 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
546 |
461 |
$15K |
| 90680 |
|
786 |
745 |
$14K |
| 90633 |
|
731 |
687 |
$13K |
| 99401 |
|
1,441 |
1,226 |
$12K |
| 87899 |
|
943 |
871 |
$11K |
| 96127 |
|
5,151 |
3,956 |
$11K |
| 90707 |
|
583 |
543 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,043 |
921 |
$11K |
| 90716 |
|
601 |
551 |
$11K |
| 90671 |
|
491 |
459 |
$9K |
| 81003 |
|
2,868 |
2,560 |
$7K |
| 99173 |
|
4,209 |
3,503 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
789 |
529 |
$7K |
| 83655 |
|
501 |
465 |
$7K |
| 87503 |
|
531 |
480 |
$5K |
| 90651 |
|
252 |
227 |
$4K |
| 99001 |
|
1,771 |
1,426 |
$4K |
| 90734 |
|
167 |
152 |
$3K |
| 82948 |
|
1,012 |
887 |
$3K |
| 87807 |
|
282 |
253 |
$3K |
| 85014 |
|
6,150 |
5,474 |
$3K |
| 94060 |
|
127 |
91 |
$3K |
| 94150 |
|
448 |
383 |
$2K |
| 90648 |
|
104 |
101 |
$2K |
| 90658 |
|
108 |
105 |
$2K |
| 82962 |
|
727 |
648 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
39 |
37 |
$2K |
| 90620 |
|
57 |
53 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,511 |
1,338 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
251 |
194 |
$950.40 |
| 90715 |
|
58 |
43 |
$887.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
112 |
109 |
$848.00 |
| 86308 |
|
105 |
101 |
$581.80 |
| 94010 |
|
59 |
57 |
$570.00 |
| 90685 |
|
55 |
47 |
$554.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
698 |
646 |
$467.69 |
| 90696 |
|
29 |
25 |
$435.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
16 |
$351.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$300.28 |
| 90381 |
|
13 |
13 |
$257.27 |
| 90700 |
|
12 |
12 |
$217.69 |
| 36416 |
|
466 |
355 |
$140.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,092 |
915 |
$120.00 |
| 81025 |
|
27 |
24 |
$66.65 |
| 92551 |
|
32 |
25 |
$29.20 |
| 97802 |
|
557 |
483 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
279 |
254 |
$0.00 |
| 96161 |
|
509 |
353 |
$0.00 |
| 94760 |
|
643 |
507 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
437 |
391 |
$0.00 |
| S8110 |
Peak expiratory flow rate (physician services) |
166 |
157 |
$0.00 |
| D1330 |
|
57 |
54 |
$0.00 |
| D1310 |
|
48 |
48 |
$0.00 |
| 96150 |
|
102 |
85 |
$0.00 |
| 91307 |
|
53 |
41 |
$0.00 |
| 94761 |
|
29 |
27 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
86 |
50 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
957 |
817 |
$0.00 |
| 99188 |
|
909 |
818 |
$0.00 |
| 0073A |
|
19 |
13 |
$0.00 |