| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,305 |
8,104 |
$410K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,570 |
1,279 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,327 |
2,741 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,417 |
1,949 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,132 |
2,320 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,213 |
1,078 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
359 |
281 |
$22K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
223 |
199 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
812 |
611 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,620 |
1,336 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
109 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
108 |
81 |
$7K |
| 87807 |
|
766 |
626 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
196 |
$6K |
| 92551 |
|
1,154 |
845 |
$6K |
| 83051 |
|
851 |
688 |
$5K |
| 99401 |
|
473 |
327 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
54 |
$4K |
| 86328 |
|
132 |
109 |
$3K |
| 99384 |
|
14 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
30 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,461 |
1,810 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
108 |
$965.48 |
| 83655 |
|
90 |
78 |
$888.22 |
| 36415 |
Collection of venous blood by venipuncture |
360 |
270 |
$700.07 |
| 99173 |
|
1,158 |
851 |
$622.65 |
| 96160 |
|
490 |
372 |
$564.68 |
| 90658 |
|
122 |
100 |
$416.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,801 |
2,086 |
$391.09 |
| 90651 |
|
122 |
76 |
$363.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
95 |
$267.97 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$162.00 |
| 90715 |
|
70 |
55 |
$152.30 |
| 99072 |
|
1,809 |
1,544 |
$140.45 |
| 90688 |
|
100 |
80 |
$45.83 |
| 81002 |
|
15 |
12 |
$23.53 |
| 36416 |
|
2,318 |
1,763 |
$12.10 |
| 86780 |
|
19 |
17 |
$11.92 |
| 90686 |
|
122 |
90 |
$0.22 |
| 90649 |
|
12 |
12 |
$0.03 |
| 90734 |
|
19 |
13 |
$0.02 |
| 99000 |
|
516 |
472 |
$0.00 |