| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
10,058 |
9,038 |
$793K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
9,719 |
9,005 |
$761K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,520 |
18,190 |
$744K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,110 |
9,235 |
$517K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,122 |
5,627 |
$449K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,460 |
5,274 |
$425K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,512 |
8,842 |
$389K |
| 87634 |
|
5,996 |
5,482 |
$338K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,074 |
3,897 |
$333K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,077 |
9,595 |
$246K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,948 |
14,541 |
$230K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,364 |
2,293 |
$214K |
| 99429 |
|
5,256 |
5,037 |
$168K |
| 94010 |
|
3,548 |
3,245 |
$87K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,475 |
6,385 |
$78K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,476 |
6,033 |
$62K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19,477 |
17,677 |
$61K |
| 99381 |
|
989 |
886 |
$55K |
| 92587 |
|
3,398 |
3,012 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,722 |
1,745 |
$28K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
767 |
712 |
$28K |
| 90461 |
|
8,636 |
8,105 |
$22K |
| 90677 |
|
623 |
606 |
$17K |
| 99460 |
|
248 |
211 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,078 |
1,949 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
229 |
196 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
752 |
699 |
$11K |
| 0071A |
|
342 |
334 |
$10K |
| 69210 |
|
353 |
320 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
591 |
582 |
$7K |
| 0001A |
|
215 |
215 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
470 |
448 |
$5K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
164 |
158 |
$5K |
| 0081A |
|
115 |
113 |
$4K |
| 0072A |
|
140 |
137 |
$4K |
| 96160 |
|
3,302 |
3,120 |
$3K |
| 0124A |
|
157 |
152 |
$3K |
| 0002A |
|
106 |
103 |
$3K |
| 0082A |
|
49 |
49 |
$2K |
| 0073A |
|
41 |
40 |
$2K |
| 99050 |
|
86 |
85 |
$1K |
| 0003A |
|
27 |
27 |
$740.00 |
| 0051A |
|
16 |
16 |
$644.00 |
| 99462 |
|
32 |
14 |
$627.30 |
| 0053A |
|
25 |
25 |
$624.00 |
| 90620 |
|
154 |
149 |
$461.85 |
| 90480 |
|
30 |
28 |
$453.04 |
| 81002 |
|
124 |
117 |
$377.96 |
| 90651 |
|
802 |
747 |
$288.83 |
| 87430 |
|
20 |
14 |
$191.59 |
| 99051 |
|
332 |
312 |
$132.30 |
| 0486T |
|
634 |
561 |
$105.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,410 |
7,976 |
$45.00 |
| 90686 |
|
2,884 |
2,805 |
$20.57 |
| 90658 |
|
405 |
353 |
$9.27 |
| 90473 |
|
79 |
63 |
$7.84 |
| 90697 |
|
1,808 |
1,765 |
$3.46 |
| 91307 |
|
303 |
285 |
$0.63 |
| 91308 |
|
352 |
335 |
$0.56 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
500 |
462 |
$0.53 |
| 91305 |
|
73 |
72 |
$0.29 |
| 91312 |
|
80 |
78 |
$0.28 |
| 90670 |
|
3,967 |
3,733 |
$0.24 |
| 90734 |
|
629 |
598 |
$0.18 |
| 90647 |
|
2,002 |
1,846 |
$0.15 |
| 90633 |
|
2,025 |
1,924 |
$0.12 |
| 90680 |
|
2,100 |
1,921 |
$0.11 |
| 90678 |
|
37 |
35 |
$0.09 |
| 90700 |
|
692 |
651 |
$0.07 |
| 90698 |
|
247 |
226 |
$0.06 |
| 90715 |
|
182 |
169 |
$0.05 |
| 90723 |
|
1,011 |
908 |
$0.04 |
| 90716 |
|
156 |
147 |
$0.02 |
| 90707 |
|
136 |
131 |
$0.01 |
| 91321 |
|
13 |
13 |
$0.01 |
| 90710 |
|
1,341 |
1,289 |
$0.00 |
| 3078F |
|
506 |
485 |
$0.00 |
| 90661 |
|
512 |
511 |
$0.00 |
| 91300 |
|
470 |
450 |
$0.00 |
| 90681 |
|
983 |
936 |
$0.00 |
| 1159F |
|
68 |
62 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 1125F |
|
41 |
36 |
$0.00 |
| 36416 |
|
526 |
478 |
$0.00 |
| 3008F |
|
2,690 |
2,433 |
$0.00 |
| 90696 |
|
265 |
261 |
$0.00 |
| 3074F |
|
513 |
492 |
$0.00 |
| 91317 |
|
14 |
13 |
$0.00 |
| 96161 |
|
612 |
560 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |
| 96380 |
|
13 |
13 |
$0.00 |