| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,578 |
19,367 |
$1.27M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,168 |
1,941 |
$192K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,128 |
1,995 |
$181K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,920 |
2,904 |
$147K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,424 |
1,421 |
$145K |
| 90461 |
|
1,970 |
1,964 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
348 |
348 |
$34K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
116 |
115 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
810 |
679 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
666 |
331 |
$9K |
| 87631 |
|
54 |
54 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
70 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
36 |
36 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99460 |
|
14 |
14 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
625 |
573 |
$1K |
| 87420 |
|
71 |
70 |
$932.40 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$824.46 |
| 90674 |
|
138 |
137 |
$457.34 |
| 36416 |
|
57 |
54 |
$171.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
25 |
$137.87 |
| 81003 |
|
15 |
12 |
$24.62 |
| 90670 |
|
1,072 |
1,071 |
$10.60 |
| 90648 |
|
622 |
621 |
$6.15 |
| 90680 |
|
594 |
592 |
$5.89 |
| 90723 |
|
516 |
515 |
$5.12 |
| 90698 |
|
315 |
315 |
$3.10 |
| 90686 |
|
263 |
262 |
$2.54 |
| 90633 |
|
143 |
143 |
$1.41 |
| 90744 |
|
76 |
76 |
$0.76 |
| 90710 |
|
52 |
52 |
$0.50 |
| 90661 |
|
25 |
25 |
$0.24 |
| 90671 |
|
18 |
18 |
$0.13 |