| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,640 |
12,248 |
$665K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
11,928 |
9,218 |
$454K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21,091 |
8,332 |
$277K |
| S8301 |
Infection control supplies, not otherwise specified |
7,889 |
4,829 |
$140K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,826 |
7,218 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
780 |
756 |
$55K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,262 |
2,583 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
516 |
494 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
409 |
386 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,088 |
1,018 |
$26K |
| 87807 |
|
2,461 |
1,974 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
246 |
$18K |
| 99382 |
|
179 |
170 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
281 |
268 |
$12K |
| 99383 |
|
159 |
152 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
326 |
316 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
609 |
568 |
$4K |
| 99384 |
|
47 |
41 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
76 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
343 |
206 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,365 |
1,998 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
136 |
130 |
$998.42 |
| 99381 |
|
13 |
13 |
$923.64 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$765.27 |
| 99429 |
|
13 |
13 |
$393.54 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,482 |
1,338 |
$375.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$276.48 |
| 92558 |
|
39 |
39 |
$267.17 |
| 90461 |
|
63 |
48 |
$249.61 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
141 |
128 |
$224.67 |
| 81002 |
|
47 |
44 |
$137.24 |
| 90473 |
|
12 |
12 |
$110.00 |
| 90686 |
|
327 |
314 |
$17.53 |
| 90671 |
|
154 |
144 |
$0.00 |
| 90670 |
|
158 |
151 |
$0.00 |
| 90633 |
|
119 |
118 |
$0.00 |
| 99051 |
|
1,417 |
1,225 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90710 |
|
76 |
76 |
$0.00 |
| G0271 |
Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
115 |
112 |
$0.00 |
| 99173 |
|
32 |
32 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| G9968 |
Patient was referred to another clinician or specialist during the measurement period |
40 |
33 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90697 |
|
147 |
133 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
511 |
474 |
$0.00 |
| 97802 |
|
297 |
289 |
$0.00 |
| 90696 |
|
19 |
19 |
$0.00 |
| 90680 |
|
105 |
101 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90647 |
|
43 |
42 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
200 |
194 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
408 |
394 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |