| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,114 |
14,207 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,604 |
9,041 |
$928K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,284 |
2,215 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,077 |
2,031 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,641 |
1,595 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,339 |
1,288 |
$93K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,438 |
4,206 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,933 |
1,845 |
$41K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
3,498 |
3,270 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,193 |
1,080 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,088 |
1,035 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
333 |
299 |
$30K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,670 |
1,539 |
$26K |
| 90670 |
|
862 |
853 |
$25K |
| 90651 |
|
489 |
480 |
$17K |
| 90686 |
|
593 |
582 |
$12K |
| 90698 |
|
333 |
329 |
$8K |
| 90680 |
|
325 |
323 |
$7K |
| 90734 |
|
226 |
221 |
$6K |
| 90633 |
|
282 |
275 |
$6K |
| 90671 |
|
196 |
196 |
$5K |
| 90710 |
|
209 |
203 |
$5K |
| 90688 |
|
260 |
247 |
$5K |
| 90744 |
|
217 |
213 |
$4K |
| 87807 |
|
333 |
317 |
$4K |
| 90648 |
|
136 |
135 |
$3K |
| 90687 |
|
86 |
84 |
$2K |
| 99000 |
|
413 |
362 |
$1K |
| 90700 |
|
56 |
55 |
$1K |
| 81002 |
|
354 |
329 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
28 |
$965.82 |
| 90685 |
|
27 |
27 |
$538.37 |
| 90672 |
|
26 |
26 |
$520.91 |
| 90723 |
|
25 |
25 |
$474.96 |
| 90715 |
|
13 |
13 |
$301.91 |
| 90697 |
|
15 |
15 |
$296.85 |
| 90696 |
|
12 |
12 |
$237.48 |
| 90621 |
|
12 |
12 |
$237.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$208.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
14 |
$18.88 |