| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,187 |
24,267 |
$981K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,418 |
11,736 |
$630K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,648 |
3,539 |
$506K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,005 |
3,990 |
$334K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,737 |
3,611 |
$320K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,926 |
2,912 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,308 |
10,104 |
$222K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,088 |
7,886 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,513 |
1,503 |
$113K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,243 |
6,816 |
$54K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
763 |
751 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,479 |
721 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
231 |
230 |
$20K |
| 90461 |
|
3,812 |
3,127 |
$15K |
| 96160 |
|
4,153 |
4,128 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
212 |
210 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
487 |
476 |
$7K |
| 99381 |
|
55 |
54 |
$4K |
| 99383 |
|
43 |
43 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
160 |
160 |
$4K |
| 81003 |
|
1,705 |
1,578 |
$3K |
| 69209 |
|
253 |
169 |
$3K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
104 |
104 |
$2K |
| 99050 |
|
147 |
144 |
$2K |
| 99384 |
|
21 |
21 |
$2K |
| 94760 |
|
3,613 |
3,414 |
$1K |
| 17110 |
|
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
46 |
$650.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
46 |
$613.94 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$608.85 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
45 |
$540.00 |
| 83655 |
|
13 |
13 |
$109.35 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
522 |
519 |
$47.25 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
24 |
$18.62 |
| 90648 |
|
499 |
498 |
$0.00 |
| 90633 |
|
747 |
742 |
$0.00 |
| 90715 |
|
332 |
332 |
$0.00 |
| 90707 |
|
51 |
51 |
$0.00 |
| 90734 |
|
505 |
501 |
$0.00 |
| 90681 |
|
330 |
330 |
$0.00 |
| 90670 |
|
775 |
768 |
$0.00 |
| 90700 |
|
170 |
169 |
$0.00 |
| 90671 |
|
432 |
429 |
$0.00 |
| 90710 |
|
254 |
252 |
$0.00 |
| 90661 |
|
820 |
817 |
$0.00 |
| 90713 |
|
30 |
29 |
$0.00 |
| 90680 |
|
131 |
127 |
$0.00 |
| 90620 |
|
1,021 |
1,017 |
$0.00 |
| 90723 |
|
139 |
139 |
$0.00 |
| 90744 |
|
165 |
162 |
$0.00 |
| 90651 |
|
1,446 |
1,438 |
$0.00 |
| 90698 |
|
650 |
644 |
$0.00 |
| 90619 |
|
567 |
566 |
$0.00 |
| 90677 |
|
325 |
324 |
$0.00 |
| 90686 |
|
4,125 |
4,097 |
$0.00 |
| 90696 |
|
135 |
135 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |