| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,223 |
34,191 |
$1.68M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,758 |
4,661 |
$119K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,954 |
14,619 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,505 |
1,501 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,408 |
1,397 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,186 |
1,179 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
726 |
643 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,583 |
1,580 |
$42K |
| 99401 |
|
4,483 |
4,451 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,378 |
1,917 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
418 |
409 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
260 |
257 |
$13K |
| 99188 |
|
1,215 |
1,215 |
$13K |
| 83655 |
|
1,377 |
1,374 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
166 |
166 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
723 |
423 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
6,881 |
6,754 |
$6K |
| 87110 |
|
599 |
597 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
742 |
739 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
333 |
318 |
$4K |
| 69210 |
|
152 |
150 |
$3K |
| 90660 |
|
139 |
139 |
$2K |
| 0002A |
|
31 |
31 |
$1K |
| 0071A |
|
33 |
33 |
$1K |
| 90619 |
|
51 |
51 |
$1K |
| 0001A |
|
24 |
24 |
$974.68 |
| S9449 |
Weight management classes, non-physician provider, per session |
1,200 |
1,197 |
$780.00 |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$706.91 |
| 87077 |
|
260 |
257 |
$682.99 |
| 90686 |
|
507 |
507 |
$673.31 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
579 |
326 |
$639.62 |
| 90670 |
|
50 |
50 |
$450.00 |
| 90672 |
|
18 |
18 |
$435.48 |
| 86318 |
|
196 |
194 |
$185.53 |
| 87430 |
|
165 |
161 |
$134.34 |
| 81000 |
|
55 |
54 |
$105.05 |
| 91307 |
|
42 |
36 |
$100.05 |
| 91300 |
|
54 |
51 |
$90.05 |
| 99421 |
|
21 |
21 |
$12.33 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |