| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,854 |
5,956 |
$317K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,859 |
1,705 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,423 |
1,194 |
$93K |
| 99050 |
|
2,802 |
2,163 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
698 |
669 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
853 |
827 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,851 |
1,783 |
$77K |
| S9083 |
Global fee urgent care centers |
1,519 |
1,182 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
688 |
573 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
296 |
293 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,773 |
1,628 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
729 |
688 |
$19K |
| 92552 |
|
1,324 |
1,287 |
$18K |
| 99188 |
|
877 |
841 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,258 |
1,114 |
$7K |
| 94010 |
|
528 |
510 |
$4K |
| 87807 |
|
699 |
637 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
327 |
246 |
$2K |
| 90670 |
|
149 |
147 |
$2K |
| 81003 |
|
1,669 |
1,477 |
$1K |
| 90461 |
|
309 |
295 |
$1K |
| 83655 |
|
217 |
211 |
$1K |
| H0049 |
Alcohol and/or drug screening |
151 |
145 |
$1K |
| 99381 |
|
13 |
12 |
$1K |
| 99401 |
|
13 |
13 |
$373.63 |
| 90710 |
|
14 |
13 |
$320.33 |
| 94664 |
|
25 |
24 |
$257.74 |
| 94760 |
|
785 |
663 |
$204.47 |
| 85018 |
|
207 |
201 |
$201.16 |
| 90473 |
|
53 |
53 |
$190.05 |
| 90715 |
|
53 |
53 |
$175.56 |
| 90686 |
|
202 |
187 |
$127.02 |
| 81025 |
|
15 |
15 |
$52.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
21 |
$36.53 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
55 |
48 |
$30.13 |
| 90700 |
|
98 |
95 |
$18.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
65 |
42 |
$11.30 |
| 3008F |
|
1,221 |
1,165 |
$0.00 |
| 90698 |
|
63 |
63 |
$0.00 |
| 90744 |
|
72 |
68 |
$0.00 |
| 90651 |
|
40 |
40 |
$0.00 |
| 90680 |
|
92 |
89 |
$0.00 |
| 90716 |
|
16 |
14 |
$0.00 |
| 1111F |
|
15 |
12 |
$0.00 |
| 90633 |
|
139 |
134 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 90734 |
|
77 |
77 |
$0.00 |
| 90671 |
|
95 |
86 |
$0.00 |
| 90707 |
|
17 |
15 |
$0.00 |
| 90672 |
|
26 |
25 |
$0.00 |
| 4124F |
|
16 |
15 |
$0.00 |