| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,340 |
21,065 |
$952K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
23,398 |
18,985 |
$793K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,512 |
8,240 |
$470K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44,448 |
18,482 |
$456K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,129 |
3,778 |
$290K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,709 |
3,516 |
$269K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17,960 |
15,169 |
$190K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,875 |
6,210 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,791 |
1,727 |
$133K |
| 99429 |
|
3,597 |
3,489 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,900 |
1,869 |
$106K |
| S8301 |
Infection control supplies, not otherwise specified |
8,814 |
7,376 |
$85K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
6,449 |
5,976 |
$76K |
| 87807 |
|
8,006 |
6,428 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
858 |
830 |
$66K |
| 99381 |
|
818 |
803 |
$62K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,607 |
8,691 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,999 |
3,353 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,085 |
3,892 |
$39K |
| 99383 |
|
451 |
443 |
$37K |
| 99382 |
|
428 |
420 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
664 |
619 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,018 |
987 |
$14K |
| 90461 |
|
4,649 |
4,027 |
$12K |
| 99384 |
|
111 |
108 |
$10K |
| 86580 |
|
1,343 |
1,309 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
114 |
108 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
583 |
572 |
$7K |
| 99051 |
|
1,374 |
1,264 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,964 |
3,319 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
185 |
$5K |
| 81002 |
|
1,522 |
1,395 |
$3K |
| 69210 |
|
75 |
74 |
$2K |
| 96160 |
|
1,193 |
1,164 |
$2K |
| 17250 |
|
29 |
25 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
43 |
$2K |
| 97169 |
|
45 |
45 |
$1K |
| 17000 |
|
12 |
12 |
$536.16 |
| CP002 |
|
41 |
32 |
$392.00 |
| 83655 |
|
34 |
33 |
$254.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
160 |
130 |
$5.84 |
| 90686 |
|
1,433 |
1,394 |
$1.51 |
| 90677 |
|
1,285 |
1,224 |
$1.35 |
| 90651 |
|
84 |
83 |
$0.05 |
| 90621 |
|
43 |
43 |
$0.04 |
| 90672 |
|
81 |
81 |
$0.03 |
| 90620 |
|
13 |
13 |
$0.03 |
| 90381 |
|
19 |
17 |
$0.02 |
| 90670 |
|
1,701 |
1,680 |
$0.01 |
| 90710 |
|
1,042 |
1,018 |
$0.00 |
| 90700 |
|
317 |
301 |
$0.00 |
| 90633 |
|
1,216 |
1,187 |
$0.00 |
| 90734 |
|
87 |
86 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90648 |
|
45 |
44 |
$0.00 |
| 90647 |
|
1,886 |
1,834 |
$0.00 |
| 90698 |
|
770 |
752 |
$0.00 |
| 90723 |
|
1,445 |
1,411 |
$0.00 |
| 90680 |
|
2,169 |
2,112 |
$0.00 |
| 90696 |
|
221 |
216 |
$0.00 |