| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,151 |
17,641 |
$770K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,156 |
3,887 |
$187K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,430 |
1,234 |
$92K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,723 |
3,267 |
$90K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,290 |
1,896 |
$81K |
| 87428 |
|
1,945 |
1,641 |
$77K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,892 |
2,444 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,277 |
1,157 |
$76K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,490 |
2,188 |
$67K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,308 |
3,195 |
$66K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,363 |
1,052 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,066 |
2,111 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
436 |
349 |
$24K |
| 90461 |
|
1,596 |
1,323 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,131 |
3,127 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
152 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
405 |
295 |
$8K |
| 87807 |
|
748 |
608 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
275 |
235 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
440 |
368 |
$4K |
| 99177 |
|
861 |
674 |
$4K |
| 92552 |
|
202 |
182 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
25 |
22 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,007 |
1,470 |
$2K |
| 96127 |
|
378 |
308 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
101 |
76 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
34 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$999.01 |
| 92558 |
|
182 |
116 |
$702.98 |
| 81001 |
|
500 |
413 |
$687.75 |
| 0031A |
|
36 |
15 |
$560.00 |
| 99173 |
|
48 |
47 |
$443.50 |
| 99307 |
|
82 |
62 |
$422.47 |
| 36416 |
|
252 |
209 |
$374.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
262 |
187 |
$357.51 |
| 81002 |
|
332 |
241 |
$304.22 |
| 90734 |
|
25 |
21 |
$301.00 |
| 90686 |
|
132 |
97 |
$253.30 |
| 71045 |
Radiologic examination, chest; single view |
23 |
12 |
$157.14 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
17 |
12 |
$152.11 |
| 90697 |
|
106 |
87 |
$146.59 |
| 80061 |
Lipid panel |
123 |
86 |
$142.95 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22 |
20 |
$135.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
46 |
$63.77 |
| 90715 |
|
42 |
37 |
$50.00 |
| 99406 |
|
19 |
12 |
$47.67 |
| 3078F |
|
278 |
193 |
$40.06 |
| 3077F |
|
90 |
68 |
$40.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
69 |
44 |
$38.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
54 |
37 |
$38.15 |
| 90633 |
|
216 |
173 |
$38.00 |
| 90688 |
|
48 |
42 |
$37.54 |
| 3074F |
|
339 |
241 |
$30.11 |
| 3079F |
|
226 |
165 |
$30.06 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
134 |
89 |
$26.27 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
28 |
15 |
$20.53 |
| 81003 |
|
14 |
13 |
$16.86 |
| G0008 |
Administration of influenza virus vaccine |
16 |
13 |
$15.42 |
| 90670 |
|
918 |
810 |
$0.03 |
| 90648 |
|
133 |
122 |
$0.01 |
| 90698 |
|
253 |
226 |
$0.01 |
| 3075F |
|
87 |
62 |
$0.01 |
| 90723 |
|
147 |
135 |
$0.01 |
| 1159F |
|
285 |
191 |
$0.00 |
| 90710 |
|
32 |
28 |
$0.00 |
| 1160F |
|
394 |
270 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90619 |
|
22 |
22 |
$0.00 |
| 90680 |
|
418 |
378 |
$0.00 |
| 3008F |
|
1,336 |
1,071 |
$0.00 |
| 1036F |
|
139 |
94 |
$0.00 |
| 1034F |
|
131 |
83 |
$0.00 |
| 3080F |
|
23 |
15 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90696 |
|
31 |
26 |
$0.00 |