| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,537 |
28,491 |
$1.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,215 |
11,849 |
$638K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,058 |
9,384 |
$408K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,740 |
3,689 |
$296K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,200 |
3,133 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,298 |
3,225 |
$245K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,400 |
7,582 |
$207K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,724 |
8,277 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,103 |
1,933 |
$148K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,839 |
9,214 |
$127K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,928 |
10,610 |
$74K |
| 99429 |
|
2,249 |
2,218 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,515 |
2,409 |
$59K |
| S8301 |
Infection control supplies, not otherwise specified |
5,117 |
4,797 |
$52K |
| 99000 |
|
4,207 |
3,942 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,938 |
3,024 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
487 |
476 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
773 |
762 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
264 |
256 |
$21K |
| 99051 |
|
3,305 |
2,879 |
$17K |
| 90461 |
|
3,694 |
3,060 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,249 |
1,043 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,034 |
1,011 |
$14K |
| 87400 |
|
1,070 |
504 |
$12K |
| 87807 |
|
993 |
915 |
$10K |
| 0071A |
|
286 |
286 |
$10K |
| 0072A |
|
227 |
227 |
$9K |
| 96160 |
|
3,082 |
3,031 |
$6K |
| 90480 |
|
200 |
187 |
$5K |
| 0001A |
|
122 |
121 |
$5K |
| 0003A |
|
114 |
114 |
$5K |
| 86580 |
|
588 |
580 |
$4K |
| 81003 |
|
2,024 |
1,882 |
$4K |
| 99381 |
|
52 |
51 |
$4K |
| 0073A |
|
86 |
86 |
$3K |
| 0002A |
|
85 |
85 |
$3K |
| 83655 |
|
330 |
320 |
$3K |
| 99383 |
|
32 |
32 |
$3K |
| CP002 |
|
223 |
163 |
$2K |
| 0124A |
|
48 |
48 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
135 |
121 |
$2K |
| 99384 |
|
21 |
20 |
$2K |
| 0081A |
|
44 |
44 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
876 |
709 |
$1K |
| 87301 |
|
117 |
115 |
$1K |
| 94010 |
|
40 |
40 |
$995.34 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$817.10 |
| 97169 |
|
43 |
43 |
$790.00 |
| 94016 |
|
40 |
40 |
$788.19 |
| 0154A |
|
14 |
14 |
$560.00 |
| 0082A |
|
13 |
13 |
$520.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
41 |
39 |
$513.70 |
| 81025 |
|
13 |
12 |
$93.99 |
| 82947 |
|
25 |
24 |
$82.50 |
| 82270 |
|
33 |
26 |
$55.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
153 |
140 |
$24.04 |
| 90686 |
|
3,919 |
3,855 |
$16.90 |
| 90619 |
|
536 |
523 |
$0.65 |
| 90677 |
|
465 |
441 |
$0.62 |
| 90651 |
|
729 |
714 |
$0.21 |
| 90621 |
|
288 |
279 |
$0.16 |
| J0570 |
Buprenorphine implant, 74.2 mg |
19 |
18 |
$0.05 |
| 90620 |
|
39 |
39 |
$0.01 |
| 90698 |
|
1,119 |
1,092 |
$0.00 |
| 90716 |
|
804 |
792 |
$0.00 |
| 90744 |
|
654 |
638 |
$0.00 |
| 90696 |
|
129 |
128 |
$0.00 |
| 91319 |
|
60 |
53 |
$0.00 |
| 90647 |
|
70 |
70 |
$0.00 |
| 90680 |
|
1,014 |
993 |
$0.00 |
| 91307 |
|
693 |
656 |
$0.00 |
| 91315 |
|
14 |
14 |
$0.00 |
| 91318 |
|
14 |
13 |
$0.00 |
| 90633 |
|
750 |
735 |
$0.00 |
| 90670 |
|
1,105 |
1,093 |
$0.00 |
| 90734 |
|
346 |
344 |
$0.00 |
| 90707 |
|
799 |
787 |
$0.00 |
| 91300 |
|
457 |
421 |
$0.00 |
| 90700 |
|
108 |
108 |
$0.00 |
| 90715 |
|
231 |
227 |
$0.00 |
| 91312 |
|
48 |
48 |
$0.00 |
| 91308 |
|
120 |
119 |
$0.00 |
| 91320 |
|
41 |
41 |
$0.00 |