| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,635 |
18,603 |
$875K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,614 |
6,371 |
$420K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,674 |
8,602 |
$353K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,660 |
11,350 |
$269K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,882 |
2,614 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,709 |
2,363 |
$178K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,896 |
2,492 |
$169K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,181 |
4,455 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,725 |
1,488 |
$126K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,034 |
8,776 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,809 |
6,025 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,955 |
1,646 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,294 |
2,696 |
$31K |
| 96127 |
|
7,359 |
6,109 |
$30K |
| 99173 |
|
6,658 |
5,820 |
$28K |
| 92587 |
|
2,228 |
1,864 |
$25K |
| 92558 |
|
4,059 |
3,581 |
$16K |
| 80061 |
Lipid panel |
1,497 |
1,291 |
$16K |
| 99381 |
|
184 |
147 |
$12K |
| 36416 |
|
9,793 |
8,524 |
$11K |
| 93000 |
|
607 |
545 |
$11K |
| 81003 |
|
6,433 |
5,559 |
$10K |
| 87070 |
|
3,123 |
2,768 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
450 |
369 |
$6K |
| 83655 |
|
448 |
416 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
103 |
83 |
$3K |
| 90688 |
|
900 |
754 |
$2K |
| 92567 |
|
123 |
98 |
$2K |
| 90651 |
|
554 |
468 |
$1K |
| 90686 |
|
2,057 |
1,800 |
$1K |
| 90670 |
|
2,083 |
1,796 |
$1K |
| 90697 |
|
282 |
198 |
$1K |
| 81002 |
|
772 |
654 |
$1K |
| 90734 |
|
387 |
347 |
$1K |
| 90461 |
|
4,123 |
2,873 |
$1K |
| 86756 |
|
260 |
222 |
$862.45 |
| 90658 |
|
186 |
162 |
$729.09 |
| 95117 |
|
70 |
24 |
$709.44 |
| 36415 |
Collection of venous blood by venipuncture |
272 |
234 |
$480.07 |
| 90698 |
|
1,544 |
1,379 |
$422.00 |
| 90680 |
|
571 |
488 |
$345.58 |
| 90619 |
|
95 |
46 |
$280.00 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
58 |
51 |
$266.09 |
| 90715 |
|
125 |
90 |
$261.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
23 |
$125.28 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
95 |
79 |
$107.47 |
| 90633 |
|
749 |
666 |
$94.84 |
| 86308 |
|
15 |
14 |
$57.58 |
| 90744 |
|
484 |
442 |
$50.44 |
| 94760 |
|
72 |
38 |
$22.44 |
| 90710 |
|
569 |
493 |
$10.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
18 |
15 |
$0.27 |
| 90716 |
|
113 |
98 |
$0.00 |
| 90621 |
|
89 |
67 |
$0.00 |
| 90707 |
|
62 |
57 |
$0.00 |
| 90681 |
|
88 |
79 |
$0.00 |
| 90685 |
|
16 |
15 |
$0.00 |