| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,655 |
53,469 |
$2.25M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24,502 |
23,051 |
$1.18M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,067 |
11,027 |
$964K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,357 |
10,689 |
$943K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,028 |
16,324 |
$939K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,983 |
8,881 |
$815K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60,459 |
24,638 |
$712K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,979 |
6,639 |
$645K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,304 |
9,858 |
$319K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,721 |
6,505 |
$314K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,535 |
18,876 |
$304K |
| 99429 |
|
6,274 |
6,235 |
$240K |
| 87428 |
|
5,581 |
5,443 |
$217K |
| S8301 |
Infection control supplies, not otherwise specified |
28,692 |
26,970 |
$213K |
| 87077 |
|
16,532 |
16,065 |
$126K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,061 |
8,052 |
$103K |
| 90461 |
|
16,659 |
13,950 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,196 |
2,143 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,051 |
5,741 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
463 |
456 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,681 |
1,376 |
$25K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,064 |
2,938 |
$23K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,447 |
1,434 |
$21K |
| 54150 |
|
162 |
161 |
$20K |
| 96160 |
|
5,492 |
5,394 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,007 |
756 |
$13K |
| 99384 |
|
99 |
97 |
$11K |
| 81002 |
|
3,178 |
3,040 |
$10K |
| 86580 |
|
1,108 |
1,072 |
$9K |
| 99381 |
|
89 |
84 |
$7K |
| 99383 |
|
69 |
69 |
$7K |
| 99001 |
|
1,979 |
1,888 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
54 |
$5K |
| 99000 |
|
4,463 |
4,386 |
$4K |
| 96380 |
|
158 |
156 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
41 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
848 |
613 |
$2K |
| 51701 |
|
14 |
12 |
$494.51 |
| 92551 |
|
235 |
231 |
$450.37 |
| 94760 |
|
228 |
212 |
$383.41 |
| 69209 |
|
14 |
14 |
$268.67 |
| 90651 |
|
2,576 |
2,562 |
$0.01 |
| 90620 |
|
1,588 |
1,556 |
$0.00 |
| 90723 |
|
5,336 |
5,322 |
$0.00 |
| 90716 |
|
2,043 |
2,036 |
$0.00 |
| 90686 |
|
8,357 |
8,328 |
$0.00 |
| 90680 |
|
4,708 |
4,694 |
$0.00 |
| 90697 |
|
1,040 |
1,037 |
$0.00 |
| 90381 |
|
158 |
137 |
$0.00 |
| 90696 |
|
1,762 |
1,756 |
$0.00 |
| 36416 |
|
9,810 |
9,364 |
$0.00 |
| 90647 |
|
127 |
127 |
$0.00 |
| 90677 |
|
938 |
933 |
$0.00 |
| 90656 |
|
172 |
172 |
$0.00 |
| 90700 |
|
2,147 |
2,144 |
$0.00 |
| 90710 |
|
2,034 |
2,027 |
$0.00 |
| 90633 |
|
4,368 |
4,352 |
$0.00 |
| 90715 |
|
1,492 |
1,486 |
$0.00 |
| 90707 |
|
2,052 |
2,044 |
$0.00 |
| 90648 |
|
5,447 |
5,438 |
$0.00 |
| 90681 |
|
535 |
535 |
$0.00 |
| 90734 |
|
2,663 |
2,637 |
$0.00 |
| 90670 |
|
6,711 |
6,695 |
$0.00 |
| 99173 |
|
327 |
323 |
$0.00 |
| 90671 |
|
662 |
662 |
$0.00 |
| A4550 |
Surgical trays |
149 |
149 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90380 |
|
51 |
47 |
$0.00 |