| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,072 |
26,294 |
$1.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,411 |
8,664 |
$806K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,824 |
4,490 |
$442K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,725 |
3,874 |
$320K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
5,352 |
4,689 |
$273K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,387 |
3,012 |
$254K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,436 |
2,093 |
$200K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
525 |
445 |
$179K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,239 |
8,273 |
$159K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,255 |
2,887 |
$98K |
| 96127 |
|
5,155 |
4,458 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,023 |
3,579 |
$63K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,701 |
2,491 |
$63K |
| 99381 |
|
686 |
643 |
$60K |
| 90670 |
|
3,664 |
2,855 |
$54K |
| 83655 |
|
4,155 |
2,977 |
$48K |
| 99173 |
|
4,820 |
4,433 |
$36K |
| 90677 |
|
624 |
551 |
$34K |
| Q3014 |
Telehealth originating site facility fee |
1,295 |
1,019 |
$31K |
| 90633 |
|
2,523 |
2,013 |
$29K |
| 90648 |
|
2,914 |
2,305 |
$26K |
| 36416 |
|
5,974 |
4,670 |
$24K |
| 90681 |
|
1,695 |
1,376 |
$22K |
| 90710 |
|
1,546 |
1,280 |
$21K |
| 90697 |
|
1,208 |
1,023 |
$19K |
| 90734 |
|
1,062 |
887 |
$17K |
| 86328 |
|
373 |
275 |
$17K |
| 85018 |
|
6,772 |
5,209 |
$15K |
| 90723 |
|
1,768 |
1,413 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,061 |
890 |
$13K |
| 90651 |
|
486 |
363 |
$9K |
| 99406 |
|
1,186 |
983 |
$9K |
| 90686 |
|
899 |
780 |
$9K |
| 90700 |
|
773 |
605 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
287 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,801 |
1,601 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
77 |
$8K |
| 90696 |
|
564 |
472 |
$7K |
| 90715 |
|
455 |
387 |
$6K |
| 99407 |
|
367 |
251 |
$6K |
| 90620 |
|
392 |
320 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
513 |
276 |
$5K |
| 96160 |
|
496 |
307 |
$4K |
| 99383 |
|
29 |
26 |
$3K |
| 90707 |
|
204 |
136 |
$3K |
| 90716 |
|
175 |
118 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
16 |
$1K |
| 90647 |
|
57 |
44 |
$575.27 |
| 99422 |
|
21 |
21 |
$569.94 |
| 90680 |
|
29 |
26 |
$185.60 |
| 81003 |
|
20 |
14 |
$43.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
12 |
$27.43 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16 |
13 |
$3.06 |
| 3725F |
|
645 |
488 |
$0.00 |
| 4001F |
|
726 |
608 |
$0.00 |
| 1159F |
|
17,825 |
13,884 |
$0.00 |
| 3077F |
|
955 |
844 |
$0.00 |
| 4004F |
|
617 |
462 |
$0.00 |
| 1160F |
|
18,026 |
14,055 |
$0.00 |
| 1033F |
|
1,141 |
894 |
$0.00 |
| 3078F |
|
956 |
843 |
$0.00 |
| 3085F |
|
1,216 |
963 |
$0.00 |
| 4274F |
|
286 |
250 |
$0.00 |
| 3210F |
|
1,596 |
1,418 |
$0.00 |
| 4062F |
|
488 |
355 |
$0.00 |
| 1040F |
|
396 |
271 |
$0.00 |
| 99072 |
|
78 |
55 |
$0.00 |
| 4120F |
|
15 |
15 |
$0.00 |
| 3354F |
|
486 |
354 |
$0.00 |
| 2000F |
|
954 |
848 |
$0.00 |
| 3074F |
|
956 |
844 |
$0.00 |
| 1220F |
|
1,304 |
1,007 |
$0.00 |
| 3075F |
|
951 |
841 |
$0.00 |
| 3351F |
|
486 |
354 |
$0.00 |
| 4045F |
|
228 |
197 |
$0.00 |
| 3080F |
|
951 |
839 |
$0.00 |
| 3079F |
|
949 |
837 |
$0.00 |
| 3353F |
|
396 |
271 |
$0.00 |
| 1035F |
|
397 |
273 |
$0.00 |
| 1000F |
|
166 |
121 |
$0.00 |
| 2060F |
|
487 |
354 |
$0.00 |
| 3352F |
|
487 |
354 |
$0.00 |
| 4000F |
|
726 |
608 |
$0.00 |
| 1036F |
|
397 |
273 |
$0.00 |
| 4060F |
|
397 |
272 |
$0.00 |
| 0545F |
|
91 |
83 |
$0.00 |
| 4063F |
|
91 |
83 |
$0.00 |