| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,262 |
16,567 |
$662K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,992 |
3,957 |
$336K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,659 |
9,721 |
$267K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,899 |
2,883 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,940 |
2,908 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,719 |
3,551 |
$194K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,564 |
9,957 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,446 |
1,345 |
$111K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,068 |
3,885 |
$96K |
| 99429 |
|
2,815 |
2,751 |
$90K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,208 |
1,202 |
$52K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,135 |
1,087 |
$44K |
| 99383 |
|
429 |
429 |
$39K |
| 99384 |
|
381 |
380 |
$37K |
| 99382 |
|
339 |
335 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,687 |
2,549 |
$30K |
| 99050 |
|
282 |
278 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
152 |
148 |
$12K |
| 99381 |
|
132 |
132 |
$11K |
| 90461 |
|
2,652 |
1,905 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
86 |
$5K |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
225 |
225 |
$5K |
| 96160 |
|
2,440 |
2,427 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
46 |
$2K |
| 99499 |
|
20 |
19 |
$2K |
| 90686 |
|
1,434 |
1,430 |
$26.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
32 |
$17.52 |
| 90734 |
|
361 |
360 |
$1.00 |
| 90723 |
|
592 |
585 |
$0.00 |
| 90696 |
|
166 |
165 |
$0.00 |
| 90650 |
|
41 |
41 |
$0.00 |
| 90651 |
|
278 |
273 |
$0.00 |
| 90680 |
|
580 |
574 |
$0.00 |
| 90620 |
|
27 |
27 |
$0.00 |
| 90677 |
|
194 |
194 |
$0.00 |
| 90698 |
|
83 |
83 |
$0.00 |
| 90670 |
|
905 |
896 |
$0.00 |
| 90648 |
|
612 |
605 |
$0.00 |
| 90710 |
|
359 |
353 |
$0.00 |
| 90633 |
|
439 |
439 |
$0.00 |
| 90715 |
|
82 |
82 |
$0.00 |
| 90649 |
|
217 |
208 |
$0.00 |