| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,565 |
11,290 |
$648K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,993 |
13,334 |
$550K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,180 |
5,134 |
$405K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,917 |
4,457 |
$363K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,468 |
3,443 |
$288K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,187 |
10,435 |
$231K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,160 |
2,134 |
$193K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,250 |
2,153 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,203 |
5,808 |
$84K |
| 99381 |
|
1,049 |
939 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,440 |
1,677 |
$47K |
| 92552 |
|
1,639 |
1,617 |
$40K |
| 90461 |
|
5,906 |
5,184 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,457 |
3,380 |
$28K |
| 99383 |
|
122 |
121 |
$11K |
| 92551 |
|
1,158 |
1,146 |
$11K |
| 87807 |
|
942 |
906 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
368 |
346 |
$8K |
| 99382 |
|
54 |
54 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
59 |
$5K |
| 96127 |
|
2,406 |
2,334 |
$5K |
| 96160 |
|
2,570 |
2,227 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
120 |
$2K |
| 90473 |
|
437 |
434 |
$2K |
| 96380 |
|
43 |
43 |
$820.87 |
| 36415 |
Collection of venous blood by venipuncture |
378 |
366 |
$563.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
31 |
$276.26 |
| 81003 |
|
111 |
107 |
$206.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
33 |
14 |
$23.04 |
| 99173 |
|
4,195 |
4,131 |
$7.00 |
| 90697 |
|
1,100 |
1,032 |
$4.87 |
| 90686 |
|
2,575 |
2,555 |
$4.86 |
| 90677 |
|
932 |
925 |
$4.03 |
| 90619 |
|
315 |
315 |
$2.21 |
| 90620 |
|
257 |
255 |
$0.66 |
| 90734 |
|
457 |
447 |
$0.42 |
| 90651 |
|
1,020 |
1,011 |
$0.34 |
| 90381 |
|
38 |
38 |
$0.19 |
| 90715 |
|
371 |
365 |
$0.08 |
| 90680 |
|
2,535 |
2,475 |
$0.02 |
| 90744 |
|
658 |
653 |
$0.02 |
| 90670 |
|
2,725 |
2,653 |
$0.02 |
| 90633 |
|
2,023 |
2,014 |
$0.01 |
| 90710 |
|
1,580 |
1,564 |
$0.01 |
| 90696 |
|
470 |
455 |
$0.00 |
| 90716 |
|
20 |
20 |
$0.00 |
| 36416 |
|
61 |
59 |
$0.00 |
| 90698 |
|
1,457 |
1,453 |
$0.00 |
| 90723 |
|
105 |
105 |
$0.00 |
| 90656 |
|
409 |
408 |
$0.00 |
| 90648 |
|
1,045 |
1,040 |
$0.00 |
| 90700 |
|
926 |
921 |
$0.00 |
| 90685 |
|
152 |
152 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |