| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,929 |
24,498 |
$1.50M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,550 |
7,397 |
$639K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,828 |
6,448 |
$373K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,145 |
5,643 |
$332K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,713 |
23,152 |
$224K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,927 |
6,963 |
$206K |
| 99401 |
|
9,012 |
7,754 |
$188K |
| 90461 |
|
4,076 |
3,549 |
$178K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,275 |
10,383 |
$138K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,275 |
1,993 |
$111K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
548 |
526 |
$110K |
| 86156 |
|
15,339 |
14,042 |
$86K |
| 92550 |
|
6,730 |
6,038 |
$84K |
| 90670 |
|
4,024 |
3,931 |
$79K |
| 70210 |
|
3,843 |
3,598 |
$74K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,789 |
2,567 |
$73K |
| 87081 |
|
8,700 |
8,081 |
$61K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,184 |
2,955 |
$58K |
| 90680 |
|
3,009 |
2,894 |
$57K |
| 90686 |
|
2,440 |
2,338 |
$45K |
| 90698 |
|
2,251 |
2,197 |
$43K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
669 |
637 |
$36K |
| 90697 |
|
1,781 |
1,672 |
$32K |
| 99460 |
|
406 |
362 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
1,690 |
1,519 |
$30K |
| 81003 |
|
11,551 |
10,489 |
$30K |
| 90633 |
|
1,566 |
1,475 |
$29K |
| 36416 |
|
11,471 |
10,073 |
$23K |
| 99173 |
|
6,498 |
5,595 |
$23K |
| 90744 |
|
1,134 |
1,114 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
460 |
397 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
335 |
308 |
$21K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
205 |
194 |
$19K |
| 92551 |
|
5,371 |
4,679 |
$16K |
| 90671 |
|
870 |
786 |
$15K |
| 99462 |
|
314 |
274 |
$11K |
| 92587 |
|
472 |
388 |
$11K |
| 83655 |
|
785 |
738 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
858 |
777 |
$9K |
| 90677 |
|
502 |
427 |
$8K |
| 92558 |
|
394 |
329 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
856 |
755 |
$7K |
| 90716 |
|
392 |
377 |
$7K |
| 90707 |
|
358 |
339 |
$7K |
| 90661 |
|
285 |
264 |
$5K |
| 86308 |
|
887 |
831 |
$5K |
| 90685 |
|
244 |
235 |
$5K |
| 99000 |
|
1,182 |
995 |
$3K |
| 90710 |
|
235 |
167 |
$3K |
| 90700 |
|
147 |
147 |
$3K |
| 90696 |
|
206 |
141 |
$3K |
| 81001 |
|
702 |
624 |
$2K |
| 90648 |
|
119 |
119 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
16 |
$2K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
199 |
171 |
$2K |
| 54150 |
|
17 |
12 |
$2K |
| 90651 |
|
96 |
79 |
$2K |
| 96127 |
|
510 |
447 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
15 |
$1K |
| 74018 |
|
66 |
62 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
50 |
33 |
$739.20 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
89 |
71 |
$706.48 |
| 90380 |
|
29 |
28 |
$554.12 |
| 87634 |
|
12 |
12 |
$505.31 |
| 90734 |
|
30 |
24 |
$474.96 |
| 90381 |
|
26 |
25 |
$455.17 |
| 0072A |
|
16 |
14 |
$437.17 |
| D1206 |
Topical application of fluoride varnish |
17 |
14 |
$313.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$295.20 |
| 70360 |
|
20 |
16 |
$270.00 |
| 90619 |
|
16 |
13 |
$237.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
29 |
$216.00 |
| 82247 |
|
28 |
25 |
$140.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
159 |
138 |
$138.96 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
461 |
315 |
$132.96 |
| 98966 |
|
26 |
17 |
$124.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
105 |
84 |
$71.60 |
| 85651 |
|
13 |
13 |
$52.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
29 |
14 |
$0.00 |
| 99174 |
|
27 |
26 |
$0.00 |
| 91300 |
|
62 |
47 |
$0.00 |