| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,037 |
16,527 |
$729K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,366 |
15,512 |
$447K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,813 |
2,766 |
$231K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
499 |
499 |
$203K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,129 |
2,100 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,296 |
2,229 |
$173K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,991 |
5,721 |
$155K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,441 |
3,303 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,005 |
5,152 |
$103K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,362 |
6,962 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,285 |
1,227 |
$91K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,802 |
8,137 |
$56K |
| 99429 |
|
1,475 |
1,454 |
$47K |
| 99000 |
|
3,541 |
3,401 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
199 |
195 |
$17K |
| 92552 |
|
626 |
619 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,965 |
1,454 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
277 |
264 |
$15K |
| 92081 |
|
638 |
630 |
$15K |
| 87807 |
|
942 |
898 |
$10K |
| 90461 |
|
2,214 |
1,831 |
$10K |
| 81000 |
|
1,845 |
1,741 |
$6K |
| 96160 |
|
1,771 |
1,747 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
282 |
272 |
$3K |
| 97169 |
|
110 |
88 |
$3K |
| 99381 |
|
16 |
13 |
$920.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
40 |
36 |
$388.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
27 |
$310.77 |
| 90658 |
|
2,051 |
2,002 |
$5.80 |
| 90620 |
|
403 |
393 |
$4.70 |
| 90651 |
|
505 |
488 |
$4.30 |
| 90734 |
|
505 |
489 |
$0.20 |
| 90633 |
|
345 |
336 |
$0.00 |
| 90670 |
|
1,165 |
1,110 |
$0.00 |
| 90655 |
|
307 |
298 |
$0.00 |
| 90707 |
|
29 |
25 |
$0.00 |
| 90648 |
|
278 |
267 |
$0.00 |
| 90681 |
|
246 |
227 |
$0.00 |
| 90715 |
|
25 |
24 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90697 |
|
503 |
475 |
$0.00 |
| 90723 |
|
146 |
142 |
$0.00 |
| 90716 |
|
42 |
38 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
27 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |