| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16,697 |
11,778 |
$637K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,738 |
12,185 |
$571K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29,586 |
10,373 |
$361K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17,032 |
11,977 |
$210K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,854 |
1,694 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,798 |
1,638 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,247 |
1,846 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,079 |
973 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,719 |
1,470 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,126 |
948 |
$71K |
| 87807 |
|
5,863 |
3,961 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,559 |
1,972 |
$56K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,801 |
5,749 |
$46K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,641 |
2,638 |
$38K |
| 99429 |
|
1,383 |
1,264 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,277 |
1,633 |
$15K |
| S8301 |
Infection control supplies, not otherwise specified |
3,693 |
2,478 |
$13K |
| 99383 |
|
100 |
80 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
72 |
$5K |
| 99384 |
|
71 |
52 |
$4K |
| 81002 |
|
1,000 |
842 |
$3K |
| 99000 |
|
280 |
273 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
196 |
174 |
$2K |
| 99382 |
|
23 |
22 |
$2K |
| 83655 |
|
194 |
170 |
$2K |
| 86355 |
|
57 |
52 |
$1K |
| 96161 |
|
1,135 |
1,019 |
$1K |
| 78268 |
|
14 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
98 |
$863.39 |
| 99050 |
|
64 |
63 |
$832.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
29 |
$655.94 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
16 |
$628.80 |
| 97169 |
|
23 |
22 |
$335.20 |
| 81025 |
|
49 |
42 |
$305.07 |
| 90461 |
|
147 |
123 |
$255.65 |
| 86580 |
|
28 |
26 |
$212.20 |
| 97802 |
|
1,886 |
1,703 |
$167.34 |
| 90686 |
|
488 |
462 |
$87.00 |
| 90651 |
|
188 |
183 |
$30.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,808 |
2,446 |
$21.51 |
| 90621 |
|
46 |
44 |
$8.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
764 |
682 |
$2.34 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,876 |
1,698 |
$0.60 |
| 90680 |
|
462 |
427 |
$0.00 |
| 90697 |
|
413 |
384 |
$0.00 |
| 90633 |
|
304 |
284 |
$0.00 |
| 90710 |
|
215 |
202 |
$0.00 |
| 90670 |
|
736 |
682 |
$0.00 |
| 99051 |
|
157 |
151 |
$0.00 |
| 90734 |
|
127 |
119 |
$0.00 |
| 90715 |
|
62 |
59 |
$0.00 |
| 90700 |
|
37 |
37 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |