| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,508 |
12,215 |
$494K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,404 |
5,143 |
$266K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,942 |
1,761 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
992 |
934 |
$64K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,325 |
2,448 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
556 |
533 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,584 |
1,469 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
466 |
436 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,161 |
993 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,714 |
1,600 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
844 |
719 |
$9K |
| 92551 |
|
1,482 |
1,343 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
102 |
$8K |
| 99173 |
|
1,567 |
1,450 |
$6K |
| 96160 |
|
939 |
861 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,240 |
1,955 |
$2K |
| 87807 |
|
171 |
159 |
$1K |
| 90670 |
|
255 |
246 |
$1K |
| 81003 |
|
728 |
596 |
$848.09 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
42 |
$830.31 |
| 96127 |
|
188 |
175 |
$689.43 |
| 3077F |
|
947 |
776 |
$677.11 |
| 3079F |
|
838 |
718 |
$650.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,070 |
1,688 |
$622.05 |
| 3080F |
|
541 |
438 |
$527.12 |
| 96161 |
|
103 |
97 |
$452.68 |
| 3078F |
|
885 |
752 |
$440.00 |
| 3074F |
|
840 |
709 |
$390.00 |
| 3075F |
|
479 |
415 |
$340.00 |
| 90461 |
|
1,031 |
967 |
$332.96 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
233 |
203 |
$289.27 |
| 90688 |
|
156 |
133 |
$249.94 |
| 99497 |
|
15 |
12 |
$157.05 |
| 90698 |
|
160 |
151 |
$126.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
31 |
$82.11 |
| 81025 |
|
13 |
12 |
$55.27 |
| 36416 |
|
15 |
13 |
$6.70 |
| 3051F |
|
14 |
13 |
$0.00 |
| 90633 |
|
42 |
41 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99000 |
|
524 |
476 |
$0.00 |
| 3044F |
|
298 |
259 |
$0.00 |
| 90677 |
|
129 |
115 |
$0.00 |
| 90744 |
|
70 |
66 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |