| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,163 |
14,360 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,650 |
7,574 |
$728K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,087 |
2,050 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,028 |
1,988 |
$148K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,314 |
1,300 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
985 |
931 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,245 |
1,530 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,114 |
2,857 |
$36K |
| 90670 |
|
1,269 |
1,209 |
$32K |
| 90651 |
|
419 |
414 |
$15K |
| 96127 |
|
3,013 |
2,806 |
$14K |
| 90716 |
|
614 |
599 |
$13K |
| 90707 |
|
569 |
553 |
$9K |
| 90688 |
|
751 |
745 |
$9K |
| 90700 |
|
778 |
750 |
$9K |
| 99173 |
|
4,293 |
4,208 |
$8K |
| 90633 |
|
676 |
665 |
$8K |
| 99000 |
|
3,526 |
3,160 |
$7K |
| 90680 |
|
428 |
398 |
$6K |
| 90734 |
|
236 |
233 |
$6K |
| 90698 |
|
360 |
343 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,941 |
4,784 |
$4K |
| 90744 |
|
339 |
329 |
$4K |
| 90713 |
|
313 |
296 |
$3K |
| 90619 |
|
78 |
78 |
$3K |
| 90461 |
|
2,455 |
2,371 |
$3K |
| 90648 |
|
212 |
198 |
$2K |
| 90715 |
|
178 |
175 |
$2K |
| 99383 |
|
12 |
12 |
$991.33 |
| 97802 |
|
2,225 |
2,199 |
$793.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
25 |
$598.00 |
| 90687 |
|
22 |
22 |
$284.84 |
| 81003 |
|
114 |
87 |
$162.05 |
| 90685 |
|
15 |
15 |
$100.72 |
| 99070 |
|
113 |
86 |
$100.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
40 |
24 |
$58.04 |
| 97803 |
|
1,136 |
1,104 |
$26.81 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
40 |
24 |
$1.55 |
| 3011F |
|
287 |
287 |
$0.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
549 |
516 |
$0.00 |