| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,586 |
27,231 |
$952K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,244 |
12,186 |
$393K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18,565 |
16,667 |
$273K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,641 |
5,239 |
$133K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,032 |
2,875 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
803 |
743 |
$15K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
141 |
132 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
562 |
544 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
104 |
98 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
40 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
51 |
$3K |
| 80305 |
|
250 |
97 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
818 |
764 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
536 |
490 |
$1K |
| 87807 |
|
85 |
79 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$766.22 |
| 90686 |
|
76 |
69 |
$596.36 |
| 92551 |
|
52 |
51 |
$462.34 |
| 81001 |
|
706 |
668 |
$451.58 |
| 90688 |
|
40 |
37 |
$387.40 |
| 74018 |
|
23 |
23 |
$256.08 |
| 90633 |
|
217 |
191 |
$180.18 |
| 96127 |
|
63 |
62 |
$160.68 |
| 81002 |
|
565 |
532 |
$131.94 |
| J3490 |
Unclassified drugs |
64 |
59 |
$106.56 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
15 |
14 |
$90.00 |
| 90734 |
|
31 |
25 |
$18.40 |
| 3074F |
|
1,802 |
1,586 |
$9.02 |
| 3078F |
|
1,438 |
1,284 |
$7.40 |
| 3079F |
|
986 |
892 |
$5.07 |
| 3075F |
|
359 |
336 |
$1.97 |
| 3077F |
|
218 |
199 |
$1.39 |
| 3080F |
|
72 |
69 |
$0.48 |
| 3008F |
|
39 |
37 |
$0.00 |
| 0521F |
|
40 |
39 |
$0.00 |