| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,141 |
36,411 |
$1.65M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25,788 |
20,344 |
$920K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
8,477 |
7,418 |
$582K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,865 |
9,690 |
$535K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,566 |
5,408 |
$445K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,834 |
5,485 |
$429K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
9,000 |
7,670 |
$404K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,304 |
3,075 |
$253K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,228 |
9,858 |
$252K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,341 |
3,099 |
$234K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,662 |
14,101 |
$206K |
| 99429 |
|
3,119 |
2,996 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,680 |
1,580 |
$91K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,052 |
11,819 |
$85K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,437 |
2,577 |
$73K |
| 92552 |
|
3,226 |
3,191 |
$37K |
| 90461 |
|
13,484 |
3,814 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,002 |
2,607 |
$32K |
| 99051 |
|
6,498 |
5,393 |
$22K |
| 87807 |
|
1,956 |
1,749 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,903 |
2,803 |
$20K |
| 92551 |
|
3,721 |
3,394 |
$17K |
| 92567 |
|
1,354 |
1,284 |
$17K |
| 99381 |
|
218 |
209 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
789 |
702 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,895 |
1,766 |
$14K |
| 0071A |
|
304 |
292 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
358 |
331 |
$12K |
| 0072A |
|
253 |
250 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$6K |
| 86328 |
|
90 |
90 |
$6K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
524 |
488 |
$5K |
| 99383 |
|
44 |
44 |
$3K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,413 |
1,343 |
$3K |
| 97169 |
|
107 |
104 |
$3K |
| 90473 |
|
712 |
628 |
$2K |
| 0081A |
|
40 |
37 |
$1K |
| 90686 |
|
2,711 |
2,649 |
$963.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
46 |
$838.75 |
| 99050 |
|
56 |
51 |
$836.64 |
| 90677 |
|
811 |
744 |
$762.61 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,159 |
926 |
$749.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$729.94 |
| 0073A |
|
12 |
12 |
$480.00 |
| 0082A |
|
13 |
13 |
$440.00 |
| 0004A |
|
14 |
13 |
$320.00 |
| 81003 |
|
126 |
121 |
$213.57 |
| 86580 |
|
28 |
27 |
$151.12 |
| 83655 |
|
14 |
14 |
$142.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
105 |
100 |
$42.25 |
| 99001 |
|
40 |
40 |
$5.40 |
| 90651 |
|
975 |
913 |
$0.50 |
| 90620 |
|
366 |
331 |
$0.19 |
| 90723 |
|
2,292 |
2,139 |
$0.00 |
| 96127 |
|
110 |
105 |
$0.00 |
| 90680 |
|
394 |
341 |
$0.00 |
| 90696 |
|
735 |
679 |
$0.00 |
| 90716 |
|
349 |
282 |
$0.00 |
| 91307 |
|
672 |
597 |
$0.00 |
| 90647 |
|
1,192 |
1,029 |
$0.00 |
| 90656 |
|
119 |
115 |
$0.00 |
| 90633 |
|
1,771 |
1,657 |
$0.00 |
| 90715 |
|
487 |
443 |
$0.00 |
| 90707 |
|
349 |
286 |
$0.00 |
| 90648 |
|
1,829 |
1,802 |
$0.00 |
| 90670 |
|
2,305 |
2,154 |
$0.00 |
| 90734 |
|
1,059 |
968 |
$0.00 |
| 90681 |
|
1,160 |
1,096 |
$0.00 |
| 90658 |
|
670 |
669 |
$0.00 |
| 90700 |
|
792 |
729 |
$0.00 |
| 99173 |
|
1,590 |
1,411 |
$0.00 |
| 90710 |
|
1,310 |
1,240 |
$0.00 |
| 91308 |
|
76 |
73 |
$0.00 |
| 91300 |
|
45 |
41 |
$0.00 |