| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,237 |
41,479 |
$3.38M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
8,871 |
6,541 |
$868K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,347 |
12,917 |
$590K |
| 87631 |
|
5,088 |
3,945 |
$505K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,741 |
5,767 |
$394K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,121 |
4,571 |
$316K |
| 99215 |
Prolong outpt/office vis |
2,836 |
2,282 |
$226K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,419 |
5,041 |
$198K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,766 |
10,588 |
$151K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,544 |
4,144 |
$115K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,394 |
13,179 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,698 |
1,529 |
$103K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,489 |
6,893 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,110 |
6,376 |
$81K |
| 87807 |
|
6,115 |
4,662 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
809 |
702 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
522 |
470 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17,118 |
13,923 |
$41K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
686 |
463 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,386 |
2,833 |
$36K |
| 80053 |
Comprehensive metabolic panel |
3,328 |
2,445 |
$28K |
| 92551 |
|
3,881 |
3,398 |
$27K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,209 |
963 |
$23K |
| 87428 |
|
609 |
542 |
$18K |
| 85027 |
|
3,284 |
2,467 |
$16K |
| 90474 |
|
1,760 |
1,682 |
$15K |
| 81002 |
|
6,321 |
5,204 |
$13K |
| 87430 |
|
1,006 |
914 |
$11K |
| 80061 |
Lipid panel |
1,077 |
874 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,265 |
4,714 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
188 |
177 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
662 |
587 |
$6K |
| 92567 |
|
670 |
524 |
$5K |
| 99173 |
|
3,989 |
3,286 |
$5K |
| 85018 |
|
2,671 |
2,248 |
$4K |
| 99401 |
|
1,170 |
908 |
$4K |
| 86308 |
|
1,088 |
786 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
656 |
537 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,132 |
2,515 |
$3K |
| 99443 |
|
135 |
84 |
$2K |
| 94760 |
|
8,317 |
5,544 |
$2K |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
688 |
592 |
$2K |
| 0001A |
|
73 |
53 |
$2K |
| 83655 |
|
212 |
186 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32 |
31 |
$1K |
| 90677 |
|
237 |
206 |
$1K |
| 36416 |
|
26,362 |
18,221 |
$1K |
| 0002A |
|
77 |
43 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
16 |
14 |
$1K |
| 87400 |
|
95 |
92 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,566 |
2,957 |
$1K |
| 90473 |
|
181 |
140 |
$1K |
| 95117 |
|
113 |
50 |
$1K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
652 |
567 |
$711.89 |
| 99177 |
|
1,698 |
1,313 |
$567.57 |
| 69210 |
|
29 |
26 |
$539.93 |
| 80076 |
|
90 |
54 |
$526.49 |
| 96127 |
|
1,382 |
928 |
$492.30 |
| 96380 |
|
26 |
26 |
$386.00 |
| 99499 |
|
29 |
27 |
$269.00 |
| 94761 |
|
370 |
263 |
$260.73 |
| 99406 |
|
243 |
145 |
$200.05 |
| 99051 |
|
12 |
12 |
$143.64 |
| 90686 |
|
2,819 |
2,494 |
$93.67 |
| 99417 |
Prolong home eval add 15m |
15 |
13 |
$58.36 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
4,593 |
2,897 |
$54.08 |
| 94664 |
|
797 |
574 |
$44.76 |
| 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) |
16 |
15 |
$43.75 |
| 90647 |
|
1,819 |
1,635 |
$31.28 |
| 90656 |
|
187 |
104 |
$22.35 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
12 |
$6.25 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
418 |
179 |
$6.03 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
57 |
32 |
$5.32 |
| 90671 |
|
644 |
534 |
$0.01 |
| 91307 |
|
81 |
40 |
$0.00 |
| 90697 |
|
383 |
237 |
$0.00 |
| 90680 |
|
1,833 |
1,696 |
$0.00 |
| 99355 |
|
349 |
238 |
$0.00 |
| 90723 |
|
1,725 |
1,626 |
$0.00 |
| 90620 |
|
17 |
13 |
$0.00 |
| 90381 |
|
15 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90651 |
|
29 |
27 |
$0.00 |
| 90660 |
|
146 |
106 |
$0.00 |
| 90633 |
|
712 |
614 |
$0.00 |
| 90670 |
|
2,909 |
2,641 |
$0.00 |
| 90672 |
|
71 |
63 |
$0.00 |
| 90734 |
|
80 |
72 |
$0.00 |
| 90710 |
|
378 |
339 |
$0.00 |
| 99080 |
|
91 |
85 |
$0.00 |
| 91300 |
|
141 |
85 |
$0.00 |
| 90380 |
|
17 |
12 |
$0.00 |