| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,796 |
19,633 |
$569K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,343 |
4,571 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,628 |
2,110 |
$153K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,672 |
2,104 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,585 |
2,047 |
$144K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,064 |
1,587 |
$105K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,638 |
5,300 |
$93K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,768 |
7,186 |
$90K |
| 87428 |
|
1,082 |
970 |
$75K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,980 |
3,064 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,516 |
1,358 |
$64K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,644 |
8,295 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,246 |
1,646 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
230 |
199 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,118 |
961 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,144 |
696 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,380 |
903 |
$5K |
| 0071A |
|
145 |
120 |
$4K |
| 0072A |
|
90 |
77 |
$3K |
| 99000 |
|
498 |
418 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
60 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
28 |
$2K |
| 86580 |
|
218 |
178 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
102 |
87 |
$858.60 |
| 83655 |
|
151 |
77 |
$710.77 |
| 0081A |
|
26 |
20 |
$680.00 |
| 81002 |
|
348 |
301 |
$607.55 |
| 0083A |
|
20 |
18 |
$400.00 |
| 92567 |
|
31 |
28 |
$363.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
744 |
599 |
$197.43 |
| 90688 |
|
917 |
628 |
$170.88 |
| 90658 |
|
1,213 |
1,055 |
$36.92 |
| 97802 |
|
267 |
233 |
$30.31 |
| 90670 |
|
1,804 |
1,406 |
$0.02 |
| 90680 |
|
1,029 |
783 |
$0.01 |
| 90648 |
|
826 |
646 |
$0.01 |
| 90657 |
|
168 |
140 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
438 |
307 |
$0.00 |
| 90698 |
|
452 |
343 |
$0.00 |
| 90723 |
|
98 |
79 |
$0.00 |
| 90696 |
|
97 |
56 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
50 |
49 |
$0.00 |
| 91307 |
|
243 |
177 |
$0.00 |
| 36416 |
|
179 |
89 |
$0.00 |
| 90633 |
|
801 |
590 |
$0.00 |
| 90707 |
|
397 |
369 |
$0.00 |
| 90700 |
|
318 |
246 |
$0.00 |
| 90734 |
|
439 |
348 |
$0.00 |
| 90649 |
|
422 |
255 |
$0.00 |
| 90687 |
|
346 |
205 |
$0.00 |
| 90710 |
|
366 |
205 |
$0.00 |
| 91308 |
|
28 |
20 |
$0.00 |
| 90715 |
|
79 |
57 |
$0.00 |