| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,475 |
4,967 |
$264K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,079 |
1,055 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
645 |
629 |
$43K |
| 99460 |
|
822 |
775 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
559 |
543 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
556 |
543 |
$37K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
736 |
704 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,105 |
1,064 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,405 |
2,266 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,308 |
1,236 |
$17K |
| 99462 |
|
593 |
292 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
576 |
560 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
221 |
217 |
$12K |
| 92551 |
|
2,245 |
2,179 |
$11K |
| 99173 |
|
2,361 |
2,285 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
802 |
784 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
238 |
236 |
$4K |
| 87428 |
|
50 |
49 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$2K |
| 81002 |
|
660 |
636 |
$2K |
| 90670 |
|
217 |
213 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
115 |
114 |
$2K |
| 90648 |
|
181 |
180 |
$1K |
| 90461 |
|
17 |
17 |
$900.00 |
| 90723 |
|
89 |
89 |
$712.00 |
| 90686 |
|
64 |
63 |
$504.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
15 |
$405.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
564 |
534 |
$257.61 |
| 90651 |
|
29 |
29 |
$232.00 |
| 90734 |
|
27 |
27 |
$216.00 |
| 90680 |
|
15 |
15 |
$120.00 |
| 90715 |
|
12 |
12 |
$96.00 |
| 36416 |
|
29 |
25 |
$52.50 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
468 |
455 |
$30.36 |