| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,593 |
31,064 |
$789K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
9,819 |
9,336 |
$379K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,235 |
4,181 |
$321K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,827 |
3,768 |
$271K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,540 |
3,494 |
$253K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,828 |
2,732 |
$190K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,944 |
9,764 |
$102K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,305 |
3,456 |
$69K |
| 99429 |
|
2,510 |
2,476 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,200 |
4,994 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,286 |
5,862 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,736 |
2,893 |
$21K |
| 99000 |
|
4,473 |
4,346 |
$21K |
| 83655 |
|
2,332 |
2,300 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,317 |
2,026 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,100 |
2,755 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
359 |
344 |
$14K |
| 90461 |
|
4,840 |
4,413 |
$8K |
| 0001A |
|
250 |
230 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
578 |
564 |
$5K |
| 96160 |
|
3,176 |
3,114 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
105 |
$4K |
| 0072A |
|
91 |
91 |
$3K |
| 87807 |
|
345 |
336 |
$3K |
| 99381 |
|
38 |
38 |
$3K |
| 86580 |
|
478 |
471 |
$2K |
| 0071A |
|
49 |
49 |
$2K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
568 |
506 |
$1K |
| 0081A |
|
16 |
16 |
$640.00 |
| 90670 |
|
1,312 |
1,289 |
$635.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$571.92 |
| 81003 |
|
292 |
279 |
$332.64 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
423 |
336 |
$310.48 |
| 94010 |
|
14 |
14 |
$247.80 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
106 |
99 |
$161.59 |
| 90688 |
|
3,953 |
3,906 |
$76.32 |
| 90648 |
|
343 |
343 |
$36.55 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
146 |
141 |
$22.41 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
169 |
168 |
$5.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
7,164 |
7,057 |
$3.50 |
| 96161 |
|
105 |
105 |
$2.07 |
| 90671 |
|
798 |
797 |
$0.95 |
| 90651 |
|
1,191 |
1,176 |
$0.60 |
| 90677 |
|
142 |
141 |
$0.06 |
| 90620 |
|
142 |
139 |
$0.03 |
| 90680 |
|
1,293 |
1,276 |
$0.01 |
| 90734 |
|
699 |
689 |
$0.00 |
| 90633 |
|
895 |
881 |
$0.00 |
| 91308 |
|
75 |
72 |
$0.00 |
| 90710 |
|
179 |
178 |
$0.00 |
| 90700 |
|
69 |
69 |
$0.00 |
| 91300 |
|
250 |
230 |
$0.00 |
| 90715 |
|
60 |
60 |
$0.00 |
| 90707 |
|
75 |
75 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
6,222 |
5,828 |
$0.00 |
| 90697 |
|
817 |
815 |
$0.00 |
| 90698 |
|
293 |
280 |
$0.00 |
| 90696 |
|
160 |
158 |
$0.00 |
| 90716 |
|
62 |
62 |
$0.00 |
| 91307 |
|
463 |
435 |
$0.00 |
| 90723 |
|
62 |
62 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
95 |
95 |
$0.00 |