| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,104 |
2,036 |
$285K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,848 |
2,721 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,691 |
3,517 |
$182K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,295 |
6,262 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,763 |
2,493 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,836 |
4,484 |
$170K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,580 |
1,528 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
661 |
632 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,739 |
2,298 |
$21K |
| 92551 |
|
1,182 |
1,156 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
756 |
728 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
256 |
236 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
493 |
473 |
$9K |
| 99000 |
|
1,004 |
941 |
$8K |
| 90461 |
|
4,632 |
2,155 |
$8K |
| 90674 |
|
402 |
383 |
$8K |
| 99381 |
|
121 |
113 |
$7K |
| 0071A |
|
130 |
127 |
$5K |
| 83655 |
|
495 |
467 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
110 |
105 |
$4K |
| 0072A |
|
101 |
99 |
$4K |
| 0002A |
|
83 |
81 |
$3K |
| 90677 |
|
484 |
440 |
$3K |
| 99460 |
|
43 |
41 |
$2K |
| 0001A |
|
63 |
59 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
26 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
42 |
41 |
$2K |
| 92587 |
|
118 |
117 |
$2K |
| 92558 |
|
399 |
394 |
$2K |
| 99382 |
|
13 |
12 |
$1K |
| 81003 |
|
647 |
582 |
$1K |
| 3510F |
|
1,170 |
1,124 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
19 |
$872.61 |
| 85018 |
|
347 |
335 |
$657.73 |
| 80061 |
Lipid panel |
63 |
60 |
$641.25 |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
518 |
454 |
$623.00 |
| 0003A |
|
15 |
15 |
$600.00 |
| 99177 |
|
524 |
498 |
$554.40 |
| 0111A |
|
17 |
15 |
$505.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
34 |
$398.75 |
| 90480 |
|
14 |
14 |
$390.00 |
| 99001 |
|
50 |
47 |
$348.11 |
| 96160 |
|
132 |
129 |
$250.53 |
| 82947 |
|
76 |
73 |
$237.60 |
| 90686 |
|
684 |
654 |
$176.56 |
| 90734 |
|
41 |
39 |
$150.23 |
| 90670 |
|
1,621 |
1,473 |
$122.50 |
| 90633 |
|
963 |
912 |
$122.50 |
| 36415 |
Collection of venous blood by venipuncture |
172 |
160 |
$122.50 |
| 90698 |
|
1,717 |
1,559 |
$122.50 |
| 90649 |
|
59 |
55 |
$87.50 |
| 99174 |
|
59 |
58 |
$52.50 |
| 90697 |
|
379 |
324 |
$36.39 |
| 91307 |
|
264 |
230 |
$2.35 |
| 90671 |
|
330 |
316 |
$1.74 |
| 91300 |
|
268 |
233 |
$0.62 |
| 91311 |
|
31 |
29 |
$0.21 |
| 90650 |
|
48 |
44 |
$0.05 |
| 90661 |
|
334 |
306 |
$0.03 |
| 90680 |
|
1,782 |
1,580 |
$0.03 |
| 99173 |
|
2,225 |
2,123 |
$0.00 |
| 90707 |
|
17 |
15 |
$0.00 |
| 90710 |
|
407 |
376 |
$0.00 |
| 90685 |
|
212 |
204 |
$0.00 |
| 99080 |
|
49 |
40 |
$0.00 |
| 90648 |
|
21 |
17 |
$0.00 |
| 36416 |
|
737 |
688 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
2,591 |
2,266 |
$0.00 |
| 90744 |
|
259 |
243 |
$0.00 |
| 90651 |
|
71 |
65 |
$0.00 |
| 90723 |
|
20 |
16 |
$0.00 |
| 90696 |
|
25 |
24 |
$0.00 |
| 90716 |
|
17 |
15 |
$0.00 |