| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,781 |
11,921 |
$626K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,502 |
7,532 |
$577K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,872 |
1,706 |
$217K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,729 |
1,652 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,480 |
1,418 |
$99K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,266 |
10,846 |
$87K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,323 |
5,872 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,337 |
1,197 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,546 |
2,334 |
$68K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,296 |
3,112 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,225 |
2,979 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
394 |
374 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
8,878 |
7,885 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,395 |
733 |
$18K |
| 92551 |
|
2,302 |
2,191 |
$17K |
| 81001 |
|
4,292 |
3,958 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,440 |
1,082 |
$9K |
| 87081 |
|
1,332 |
1,226 |
$8K |
| 99173 |
|
2,929 |
2,775 |
$5K |
| 69210 |
|
162 |
128 |
$4K |
| 82465 |
|
988 |
919 |
$4K |
| 87807 |
|
150 |
136 |
$2K |
| 90474 |
|
159 |
153 |
$1K |
| 90473 |
|
130 |
109 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
45 |
$998.13 |
| 70210 |
|
35 |
31 |
$698.68 |
| 96127 |
|
314 |
279 |
$537.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
113 |
52 |
$349.16 |
| 90686 |
|
2,575 |
2,354 |
$19.86 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
14 |
$17.82 |
| 99177 |
|
19 |
15 |
$11.75 |
| 94760 |
|
117 |
104 |
$11.03 |
| 36416 |
|
66 |
54 |
$8.51 |
| 90647 |
|
281 |
260 |
$0.00 |
| 90680 |
|
222 |
191 |
$0.00 |
| 90723 |
|
272 |
245 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90651 |
|
30 |
24 |
$0.00 |
| 99000 |
|
16 |
14 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| 90656 |
|
81 |
79 |
$0.00 |
| 90734 |
|
140 |
125 |
$0.00 |
| 90670 |
|
705 |
641 |
$0.00 |
| 90633 |
|
114 |
108 |
$0.00 |
| 90672 |
|
18 |
13 |
$0.00 |
| 90715 |
|
32 |
28 |
$0.00 |