| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,035 |
4,204 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
581 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
630 |
544 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,375 |
1,127 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
519 |
454 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,374 |
1,098 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
202 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
414 |
288 |
$20K |
| 90461 |
|
829 |
676 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
824 |
391 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
174 |
163 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
608 |
553 |
$8K |
| 97802 |
|
953 |
696 |
$7K |
| 99460 |
|
139 |
130 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
66 |
$5K |
| 96127 |
|
1,409 |
1,154 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
238 |
196 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
49 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18 |
15 |
$1K |
| 99462 |
|
44 |
36 |
$985.20 |
| 54150 |
|
13 |
12 |
$915.24 |
| 96161 |
|
314 |
246 |
$645.58 |
| 83655 |
|
40 |
37 |
$442.27 |
| 90670 |
|
454 |
372 |
$413.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$237.95 |
| 90633 |
|
335 |
274 |
$228.60 |
| 90723 |
|
345 |
273 |
$199.02 |
| 90686 |
|
112 |
105 |
$193.09 |
| 96160 |
|
130 |
74 |
$158.86 |
| 90680 |
|
225 |
174 |
$150.40 |
| 85018 |
|
54 |
49 |
$117.54 |
| 90734 |
|
91 |
64 |
$117.41 |
| 90647 |
|
330 |
257 |
$114.77 |
| 36416 |
|
49 |
44 |
$19.62 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90715 |
|
68 |
44 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |