| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,843 |
20,799 |
$982K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
11,759 |
9,831 |
$435K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,176 |
7,047 |
$208K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,539 |
1,452 |
$125K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,853 |
8,565 |
$125K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,502 |
1,415 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,018 |
942 |
$75K |
| S8301 |
Infection control supplies, not otherwise specified |
7,356 |
6,067 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,474 |
1,949 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
709 |
668 |
$38K |
| 87807 |
|
3,004 |
2,546 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,832 |
4,320 |
$27K |
| 99000 |
|
2,880 |
2,532 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
199 |
185 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
180 |
163 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
369 |
284 |
$10K |
| 99050 |
|
770 |
625 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
284 |
235 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
580 |
504 |
$5K |
| 90461 |
|
1,127 |
836 |
$5K |
| 81003 |
|
1,163 |
1,044 |
$2K |
| 99051 |
|
357 |
338 |
$2K |
| 99091 |
|
13 |
13 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
34 |
33 |
$982.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
76 |
$553.52 |
| 96160 |
|
269 |
248 |
$443.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
347 |
322 |
$389.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
31 |
28 |
$122.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
16 |
$13.08 |
| 90658 |
|
408 |
389 |
$7.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
222 |
204 |
$1.92 |
| 90648 |
|
96 |
96 |
$0.00 |
| 90710 |
|
82 |
79 |
$0.00 |
| 90670 |
|
155 |
151 |
$0.00 |
| 90715 |
|
76 |
76 |
$0.00 |
| 90734 |
|
181 |
180 |
$0.00 |
| 90633 |
|
109 |
108 |
$0.00 |
| 90651 |
|
104 |
102 |
$0.00 |
| 90620 |
|
54 |
54 |
$0.00 |
| 90696 |
|
35 |
34 |
$0.00 |
| 90686 |
|
48 |
42 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$0.00 |
| 1111F |
|
43 |
41 |
$0.00 |
| 91301 |
|
23 |
13 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |