| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,390 |
12,491 |
$884K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,665 |
7,024 |
$303K |
| 99215 |
Prolong outpt/office vis |
3,341 |
3,238 |
$296K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,817 |
5,529 |
$229K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,307 |
6,940 |
$205K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,232 |
2,162 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,843 |
4,677 |
$131K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,786 |
7,843 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,550 |
1,506 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,470 |
1,400 |
$86K |
| 92567 |
|
4,808 |
4,627 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
909 |
876 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,938 |
1,841 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
666 |
630 |
$22K |
| 92558 |
|
2,339 |
2,240 |
$19K |
| 69210 |
|
205 |
201 |
$9K |
| 99375 |
|
100 |
96 |
$8K |
| 92551 |
|
1,168 |
1,134 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
359 |
322 |
$6K |
| 99381 |
|
31 |
29 |
$2K |
| 90734 |
|
282 |
264 |
$2K |
| 87807 |
|
105 |
100 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$1K |
| 90716 |
|
425 |
411 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
16 |
$1K |
| 92587 |
|
17 |
15 |
$731.64 |
| 90707 |
|
414 |
401 |
$682.93 |
| 93000 |
|
28 |
28 |
$496.66 |
| 90686 |
|
1,534 |
1,456 |
$471.37 |
| 90715 |
|
155 |
148 |
$448.17 |
| 90713 |
|
1,290 |
1,216 |
$357.85 |
| 90700 |
|
1,765 |
1,664 |
$336.65 |
| 90651 |
|
59 |
59 |
$294.18 |
| 90670 |
|
1,246 |
1,160 |
$278.36 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
74 |
72 |
$163.07 |
| 90656 |
|
113 |
105 |
$100.09 |
| 90633 |
|
260 |
248 |
$86.63 |
| 90648 |
|
1,193 |
1,129 |
$29.99 |
| 99173 |
|
12 |
12 |
$21.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
40 |
$18.63 |
| 90744 |
|
270 |
254 |
$0.01 |
| 90620 |
|
320 |
292 |
$0.01 |
| 90688 |
|
359 |
355 |
$0.00 |
| 90680 |
|
133 |
131 |
$0.00 |