| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,219 |
11,516 |
$462K |
| 86769 |
|
12,473 |
5,376 |
$436K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,126 |
8,273 |
$406K |
| 96112 |
|
2,871 |
2,610 |
$229K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,758 |
1,516 |
$110K |
| 87276 |
|
8,978 |
7,785 |
$105K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,647 |
7,247 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,380 |
1,269 |
$94K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,656 |
12,425 |
$92K |
| 87275 |
|
8,976 |
7,786 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,255 |
2,738 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
604 |
540 |
$39K |
| 87807 |
|
3,454 |
3,047 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
513 |
465 |
$26K |
| 99441 |
|
940 |
893 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
422 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,642 |
708 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,741 |
767 |
$15K |
| 92567 |
|
1,578 |
1,338 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
240 |
216 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
159 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
121 |
120 |
$9K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
239 |
123 |
$7K |
| 81003 |
|
4,042 |
3,587 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
133 |
132 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
506 |
412 |
$4K |
| 99442 |
|
145 |
130 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
326 |
299 |
$4K |
| 87581 |
|
142 |
141 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
133 |
132 |
$4K |
| 90461 |
|
573 |
440 |
$3K |
| 99383 |
|
45 |
43 |
$3K |
| 93000 |
|
150 |
140 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 0001A |
|
39 |
33 |
$1K |
| 83655 |
|
148 |
123 |
$1K |
| 0071A |
|
27 |
27 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
174 |
144 |
$998.08 |
| 96160 |
|
2,093 |
1,874 |
$799.63 |
| 0002A |
|
20 |
17 |
$660.00 |
| 99050 |
|
25 |
25 |
$343.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
32 |
$245.21 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
266 |
243 |
$196.89 |
| 90686 |
|
87 |
76 |
$18.49 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
53 |
50 |
$4.47 |
| 90648 |
|
27 |
27 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
195 |
181 |
$0.00 |
| 90734 |
|
99 |
93 |
$0.00 |
| 90710 |
|
18 |
15 |
$0.00 |
| 99173 |
|
216 |
183 |
$0.00 |
| 90715 |
|
43 |
39 |
$0.00 |
| 91300 |
|
65 |
55 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90649 |
|
26 |
26 |
$0.00 |
| 91307 |
|
61 |
55 |
$0.00 |
| 90696 |
|
27 |
24 |
$0.00 |