| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,949 |
18,912 |
$1.93M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,242 |
1,915 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,783 |
1,686 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,325 |
1,277 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,148 |
6,446 |
$93K |
| 92552 |
|
3,297 |
3,159 |
$87K |
| 87428 |
|
2,094 |
1,920 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
921 |
797 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
480 |
456 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
873 |
807 |
$26K |
| 90677 |
|
137 |
125 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,424 |
1,337 |
$19K |
| 90670 |
|
1,015 |
969 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,764 |
4,793 |
$13K |
| 90686 |
|
1,108 |
1,061 |
$13K |
| 90648 |
|
1,120 |
1,047 |
$12K |
| 90723 |
|
628 |
587 |
$10K |
| 87807 |
|
653 |
594 |
$8K |
| 99173 |
|
3,226 |
3,095 |
$8K |
| 81003 |
|
3,211 |
3,017 |
$7K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
102 |
97 |
$6K |
| 90461 |
|
3,031 |
2,435 |
$4K |
| 99188 |
|
181 |
167 |
$3K |
| 90633 |
|
215 |
205 |
$3K |
| 90716 |
|
177 |
173 |
$3K |
| 90619 |
|
34 |
31 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
906 |
832 |
$2K |
| 90707 |
|
151 |
148 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
16 |
$2K |
| 90681 |
|
89 |
77 |
$2K |
| 99460 |
|
15 |
12 |
$1K |
| 90651 |
|
59 |
54 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
12 |
$935.34 |
| 0001A |
|
13 |
13 |
$538.00 |
| 90696 |
|
42 |
41 |
$490.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
39 |
$481.08 |
| 85018 |
|
168 |
158 |
$383.76 |
| 90734 |
|
20 |
17 |
$323.01 |
| 90710 |
|
27 |
26 |
$286.00 |
| 92015 |
Determination of refractive state |
139 |
123 |
$256.88 |
| 81002 |
|
72 |
68 |
$189.09 |
| 90657 |
|
14 |
14 |
$162.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$116.08 |
| D1206 |
Topical application of fluoride varnish |
19 |
13 |
$41.58 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
40 |
36 |
$33.67 |
| 91300 |
|
39 |
27 |
$0.33 |
| 91307 |
|
23 |
18 |
$0.13 |