| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,295 |
19,786 |
$873K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,800 |
7,996 |
$342K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,184 |
3,806 |
$243K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,553 |
3,311 |
$231K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,253 |
2,976 |
$196K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,302 |
6,596 |
$149K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,110 |
3,259 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,109 |
964 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,158 |
5,732 |
$65K |
| 95115 |
|
3,578 |
2,203 |
$32K |
| 96161 |
|
2,256 |
2,031 |
$27K |
| 92551 |
|
3,858 |
3,391 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
266 |
221 |
$19K |
| 99177 |
|
3,304 |
2,890 |
$18K |
| 87807 |
|
1,437 |
1,289 |
$13K |
| 96127 |
|
2,721 |
2,163 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,486 |
1,372 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
349 |
325 |
$13K |
| 95117 |
|
909 |
474 |
$10K |
| 85018 |
|
3,846 |
3,376 |
$8K |
| 96160 |
|
574 |
485 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
232 |
217 |
$6K |
| 81003 |
|
2,860 |
2,543 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
24 |
24 |
$5K |
| 83655 |
|
362 |
341 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
239 |
196 |
$3K |
| 90670 |
|
2,839 |
2,660 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
176 |
152 |
$2K |
| 99381 |
|
30 |
27 |
$1K |
| 90686 |
|
2,215 |
2,003 |
$1K |
| 90710 |
|
342 |
325 |
$855.95 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
36 |
29 |
$537.45 |
| 90461 |
|
1,918 |
1,691 |
$477.21 |
| 90697 |
|
113 |
97 |
$472.87 |
| 90723 |
|
1,803 |
1,682 |
$329.96 |
| 90677 |
|
234 |
195 |
$289.32 |
| 90633 |
|
507 |
464 |
$208.16 |
| 90647 |
|
1,672 |
1,550 |
$171.13 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
18 |
12 |
$168.35 |
| 90681 |
|
639 |
583 |
$156.11 |
| 99173 |
|
438 |
357 |
$84.63 |
| 90685 |
|
52 |
52 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90696 |
|
27 |
27 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |