| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,215 |
15,854 |
$1.43M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,434 |
3,534 |
$423K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,611 |
3,016 |
$325K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,807 |
2,722 |
$323K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,714 |
6,690 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,076 |
1,751 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,240 |
3,188 |
$180K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,326 |
2,927 |
$100K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,319 |
5,867 |
$97K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,995 |
2,847 |
$84K |
| 90461 |
|
4,936 |
3,254 |
$64K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,010 |
3,342 |
$42K |
| 92567 |
|
4,751 |
3,870 |
$41K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,949 |
3,817 |
$39K |
| 99381 |
|
563 |
354 |
$30K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,889 |
1,362 |
$29K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,452 |
2,920 |
$21K |
| 86328 |
|
1,934 |
1,800 |
$20K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
280 |
265 |
$19K |
| 87807 |
|
2,487 |
1,701 |
$19K |
| 99188 |
|
1,118 |
915 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
854 |
700 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
598 |
414 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
284 |
203 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,235 |
2,720 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
328 |
180 |
$9K |
| 99305 |
|
627 |
406 |
$8K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,346 |
411 |
$8K |
| 90723 |
|
1,459 |
1,011 |
$7K |
| 90670 |
|
2,904 |
1,928 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,519 |
994 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
494 |
113 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
239 |
231 |
$3K |
| 90680 |
|
2,083 |
1,458 |
$2K |
| 90648 |
|
1,995 |
1,453 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
53 |
24 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
107 |
103 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
173 |
138 |
$2K |
| 99219 |
|
40 |
30 |
$1K |
| 99221 |
|
36 |
25 |
$996.11 |
| 90686 |
|
839 |
794 |
$978.93 |
| 90633 |
|
1,415 |
1,077 |
$936.64 |
| 99233 |
Prolong inpt eval add15 m |
103 |
38 |
$850.85 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
293 |
209 |
$821.27 |
| 87088 |
|
245 |
223 |
$760.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
58 |
$709.12 |
| 90651 |
|
902 |
679 |
$699.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
25 |
$678.55 |
| 3008F |
|
11,037 |
8,561 |
$621.91 |
| 80053 |
Comprehensive metabolic panel |
166 |
158 |
$619.16 |
| 74018 |
|
50 |
26 |
$492.73 |
| 90710 |
|
513 |
397 |
$488.39 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
86 |
85 |
$416.03 |
| 99310 |
Prolong nursin fac eval 15m |
72 |
40 |
$362.74 |
| 90698 |
|
332 |
123 |
$336.08 |
| 90961 |
|
21 |
15 |
$306.88 |
| 90707 |
|
245 |
148 |
$300.46 |
| 80061 |
Lipid panel |
68 |
65 |
$265.93 |
| 90734 |
|
518 |
366 |
$232.09 |
| 90716 |
|
269 |
154 |
$224.60 |
| 90700 |
|
111 |
105 |
$216.07 |
| 90715 |
|
273 |
189 |
$207.43 |
| 81003 |
|
96 |
88 |
$177.51 |
| 87634 |
|
34 |
32 |
$161.56 |
| 99307 |
|
150 |
83 |
$146.52 |
| 90696 |
|
272 |
193 |
$140.02 |
| 99335 |
|
16 |
12 |
$77.42 |
| 99173 |
|
1,967 |
1,456 |
$50.36 |
| 83615 |
|
19 |
12 |
$45.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$13.97 |
| 93000 |
|
234 |
186 |
$10.30 |
| 90649 |
|
13 |
13 |
$10.00 |
| 94060 |
|
20 |
13 |
$10.00 |
| 99050 |
|
92 |
88 |
$7.57 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$3.85 |
| 94729 |
|
39 |
26 |
$2.32 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
36 |
15 |
$0.72 |
| 99152 |
|
18 |
12 |
$0.61 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
17 |
13 |
$0.34 |
| J7050 |
Infusion, normal saline solution, 250 cc |
34 |
14 |
$0.26 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
31 |
25 |
$0.14 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
18 |
13 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 1111F |
|
113 |
107 |
$0.00 |
| 90697 |
|
92 |
85 |
$0.00 |
| 80069 |
|
12 |
12 |
$0.00 |
| 90688 |
|
105 |
98 |
$0.00 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
27 |
12 |
$0.00 |
| 90620 |
|
58 |
32 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
13 |
$0.00 |
| 20610 |
|
28 |
12 |
$0.00 |
| 1220F |
|
16 |
14 |
$0.00 |
| 93990 |
|
13 |
12 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |
| 90671 |
|
236 |
230 |
$0.00 |
| 80305 |
|
47 |
40 |
$0.00 |
| 11721 |
|
107 |
89 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
142 |
29 |
$0.00 |
| 3725F |
|
15 |
13 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 94726 |
|
39 |
26 |
$0.00 |
| 90662 |
|
19 |
12 |
$0.00 |
| 96367 |
|
26 |
12 |
$0.00 |
| 1159F |
|
27 |
27 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$0.00 |
| 84550 |
|
18 |
12 |
$0.00 |