| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,648 |
44,278 |
$2.29M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46,540 |
37,435 |
$1.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,410 |
26,005 |
$1.65M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17,672 |
15,355 |
$1.33M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,127 |
6,946 |
$583K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,657 |
5,500 |
$505K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,803 |
5,629 |
$448K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29,585 |
25,281 |
$388K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26,227 |
11,409 |
$346K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,293 |
3,192 |
$247K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,709 |
10,214 |
$246K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24,327 |
20,946 |
$154K |
| 99429 |
|
2,334 |
2,261 |
$77K |
| 99051 |
|
17,740 |
14,281 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
812 |
792 |
$73K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
889 |
877 |
$54K |
| 99000 |
|
4,074 |
3,710 |
$41K |
| 0001A |
|
864 |
852 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
405 |
379 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,322 |
1,167 |
$33K |
| 0002A |
|
830 |
819 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
607 |
577 |
$30K |
| 0071A |
|
727 |
724 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,444 |
2,359 |
$27K |
| 90461 |
|
4,284 |
3,585 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,171 |
2,782 |
$25K |
| 99381 |
|
319 |
297 |
$25K |
| 0072A |
|
608 |
601 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,919 |
1,873 |
$20K |
| 92551 |
|
3,181 |
3,102 |
$19K |
| 92567 |
|
1,424 |
1,371 |
$18K |
| 87428 |
|
606 |
562 |
$16K |
| 92587 |
|
905 |
866 |
$16K |
| 83655 |
|
1,491 |
1,454 |
$15K |
| 0003A |
|
369 |
365 |
$14K |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
14,022 |
13,643 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
871 |
753 |
$10K |
| 96160 |
|
4,533 |
4,379 |
$9K |
| 81003 |
|
3,838 |
3,108 |
$7K |
| 87634 |
|
93 |
93 |
$5K |
| 99050 |
|
329 |
259 |
$5K |
| 0073A |
|
115 |
115 |
$5K |
| S8301 |
Infection control supplies, not otherwise specified |
329 |
314 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
342 |
202 |
$3K |
| 97170 |
|
73 |
72 |
$3K |
| 97169 |
|
84 |
83 |
$2K |
| 0081A |
|
42 |
42 |
$2K |
| 99384 |
|
16 |
16 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
670 |
579 |
$1K |
| 87807 |
|
79 |
75 |
$850.32 |
| 0154A |
|
15 |
15 |
$600.00 |
| 85027 |
|
100 |
98 |
$472.41 |
| 86580 |
|
39 |
39 |
$42.12 |
| 90686 |
|
2,207 |
2,191 |
$20.19 |
| 90671 |
|
841 |
801 |
$0.82 |
| 90651 |
|
2,029 |
1,958 |
$0.80 |
| 90620 |
|
1,447 |
1,388 |
$0.54 |
| 90677 |
|
432 |
410 |
$0.34 |
| 90688 |
|
699 |
695 |
$0.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20,821 |
20,145 |
$0.00 |
| 90696 |
|
780 |
759 |
$0.00 |
| 90680 |
|
2,064 |
2,012 |
$0.00 |
| 90716 |
|
407 |
395 |
$0.00 |
| 4037F |
|
2,616 |
2,592 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
403 |
394 |
$0.00 |
| 90723 |
|
2,238 |
2,183 |
$0.00 |
| 90656 |
|
262 |
262 |
$0.00 |
| 91307 |
|
66 |
66 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
143 |
143 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
704 |
676 |
$0.00 |
| 90710 |
|
1,069 |
1,037 |
$0.00 |
| 90700 |
|
613 |
585 |
$0.00 |
| 90648 |
|
2,984 |
2,904 |
$0.00 |
| 90715 |
|
1,065 |
1,030 |
$0.00 |
| 90633 |
|
1,617 |
1,571 |
$0.00 |
| 90734 |
|
1,894 |
1,823 |
$0.00 |
| 90670 |
|
1,691 |
1,680 |
$0.00 |
| 90707 |
|
370 |
358 |
$0.00 |
| 99173 |
|
3,921 |
3,828 |
$0.00 |
| 91300 |
|
1,504 |
1,355 |
$0.00 |