| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,381 |
26,500 |
$2.28M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,865 |
8,685 |
$1.21M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,807 |
8,294 |
$1.11M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,368 |
16,481 |
$598K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,350 |
3,294 |
$384K |
| 90461 |
|
11,078 |
10,289 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,958 |
4,220 |
$230K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,334 |
1,320 |
$163K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
578 |
551 |
$150K |
| 90671 |
|
2,202 |
2,081 |
$109K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,274 |
1,168 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,043 |
2,014 |
$33K |
| 99215 |
Prolong outpt/office vis |
1,395 |
1,128 |
$30K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
89 |
81 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
901 |
876 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
898 |
165 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,545 |
1,487 |
$15K |
| 83655 |
|
1,036 |
1,015 |
$8K |
| 90686 |
|
4,756 |
4,618 |
$8K |
| 93000 |
|
1,632 |
1,509 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
67 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
144 |
139 |
$5K |
| 81002 |
|
2,656 |
2,601 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
264 |
213 |
$5K |
| 85018 |
|
1,112 |
1,078 |
$2K |
| 99382 |
|
17 |
15 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 0071A |
|
34 |
32 |
$1K |
| 0002A |
|
46 |
40 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
185 |
49 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
35 |
$1K |
| 90633 |
|
1,610 |
1,573 |
$1K |
| 90723 |
|
4,136 |
3,951 |
$981.27 |
| 90710 |
|
268 |
266 |
$944.12 |
| 96127 |
|
493 |
484 |
$877.72 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
17 |
13 |
$872.97 |
| 90648 |
|
6,470 |
6,191 |
$716.29 |
| 90670 |
|
4,548 |
4,369 |
$670.98 |
| 0001A |
|
28 |
27 |
$560.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
198 |
186 |
$494.59 |
| 0072A |
|
12 |
12 |
$480.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
165 |
133 |
$427.50 |
| 99223 |
Prolong inpt eval add15 m |
19 |
13 |
$408.51 |
| 99173 |
|
12,893 |
11,463 |
$344.74 |
| 94760 |
|
1,369 |
1,289 |
$331.00 |
| 90651 |
|
307 |
293 |
$312.13 |
| 90716 |
|
566 |
536 |
$284.94 |
| 90707 |
|
543 |
513 |
$164.98 |
| 90681 |
|
1,504 |
1,414 |
$106.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
178 |
151 |
$104.18 |
| 90734 |
|
122 |
119 |
$48.02 |
| 90685 |
|
29 |
27 |
$48.02 |
| 86140 |
|
98 |
84 |
$36.07 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
67 |
53 |
$35.58 |
| 90656 |
|
205 |
204 |
$18.13 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$17.29 |
| 36416 |
|
781 |
752 |
$12.75 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$12.09 |
| 85651 |
|
113 |
98 |
$11.67 |
| 90697 |
|
182 |
173 |
$10.00 |
| 92551 |
|
12,811 |
11,372 |
$0.00 |
| 3074F |
|
49 |
45 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
144 |
$0.00 |
| 1111F |
|
246 |
222 |
$0.00 |
| 90696 |
|
58 |
58 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
276 |
231 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
94 |
74 |
$0.00 |
| 87081 |
|
15 |
15 |
$0.00 |
| 84460 |
|
27 |
27 |
$0.00 |
| 3078F |
|
36 |
30 |
$0.00 |
| 82565 |
|
27 |
27 |
$0.00 |
| 90700 |
|
37 |
36 |
$0.00 |
| 84450 |
|
27 |
27 |
$0.00 |
| 80061 |
Lipid panel |
16 |
13 |
$0.00 |