| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,872 |
15,386 |
$871K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,688 |
4,292 |
$285K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,377 |
3,042 |
$99K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,354 |
3,173 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,058 |
974 |
$72K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,340 |
5,513 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
613 |
576 |
$49K |
| 87428 |
|
1,549 |
1,371 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,848 |
6,152 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,143 |
2,931 |
$33K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
355 |
345 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
508 |
485 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,063 |
1,826 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
273 |
265 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,083 |
1,025 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
209 |
205 |
$16K |
| 87430 |
|
1,135 |
1,075 |
$13K |
| 92552 |
|
587 |
572 |
$12K |
| 87400 |
|
1,203 |
605 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
5,572 |
4,999 |
$10K |
| 82947 |
|
2,147 |
2,022 |
$7K |
| 99401 |
|
862 |
807 |
$6K |
| 99382 |
|
70 |
68 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,517 |
3,209 |
$5K |
| 90686 |
|
1,474 |
1,342 |
$3K |
| 87807 |
|
316 |
274 |
$3K |
| 99384 |
|
32 |
26 |
$3K |
| 83655 |
|
166 |
152 |
$2K |
| 87210 |
|
396 |
367 |
$2K |
| 99173 |
|
1,219 |
1,124 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,269 |
2,048 |
$862.19 |
| 90651 |
|
608 |
571 |
$800.04 |
| 87420 |
|
67 |
62 |
$722.67 |
| 81000 |
|
268 |
243 |
$600.11 |
| 96160 |
|
413 |
409 |
$444.65 |
| 81025 |
|
53 |
50 |
$340.71 |
| 81002 |
|
55 |
53 |
$135.53 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$129.68 |
| 90688 |
|
12 |
12 |
$128.48 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
849 |
745 |
$128.03 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
70 |
68 |
$109.32 |
| 90656 |
|
40 |
40 |
$105.35 |
| 90715 |
|
275 |
255 |
$55.71 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
571 |
497 |
$30.55 |
| 82962 |
|
16 |
12 |
$24.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$8.02 |
| 36416 |
|
1,652 |
1,470 |
$1.63 |
| 90633 |
|
359 |
340 |
$0.00 |
| 90734 |
|
388 |
355 |
$0.00 |
| 90670 |
|
58 |
58 |
$0.00 |
| 90710 |
|
109 |
105 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 3078F |
|
16 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90619 |
|
87 |
87 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
102 |
100 |
$0.00 |
| 3351F |
|
19 |
17 |
$0.00 |
| 90696 |
|
29 |
28 |
$0.00 |