| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,661 |
31,867 |
$1.61M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,388 |
18,643 |
$1.39M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,144 |
15,169 |
$549K |
| 87428 |
|
7,698 |
6,759 |
$445K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,647 |
5,044 |
$385K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,137 |
4,789 |
$364K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,519 |
3,921 |
$341K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,609 |
11,611 |
$292K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,515 |
5,770 |
$187K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,928 |
2,764 |
$184K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,872 |
12,914 |
$157K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,233 |
4,856 |
$139K |
| 92551 |
|
15,844 |
13,975 |
$127K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,136 |
12,425 |
$104K |
| 99177 |
|
15,584 |
13,751 |
$82K |
| 96127 |
|
14,737 |
12,512 |
$77K |
| 96160 |
|
6,976 |
6,003 |
$77K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,863 |
1,652 |
$66K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
277 |
242 |
$47K |
| 99401 |
|
2,645 |
1,933 |
$47K |
| 87807 |
|
4,249 |
3,684 |
$41K |
| 81002 |
|
15,817 |
13,626 |
$39K |
| 99381 |
|
339 |
302 |
$23K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,740 |
1,103 |
$23K |
| 96161 |
|
1,933 |
1,718 |
$23K |
| 83655 |
|
1,746 |
1,576 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
254 |
205 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
890 |
638 |
$14K |
| 85018 |
|
6,456 |
2,863 |
$13K |
| 36416 |
|
11,834 |
10,185 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,512 |
1,036 |
$10K |
| 99422 |
|
395 |
333 |
$9K |
| 99383 |
|
86 |
68 |
$7K |
| 90480 |
|
239 |
194 |
$6K |
| 81025 |
|
1,258 |
1,040 |
$6K |
| 99384 |
|
62 |
48 |
$6K |
| 90651 |
|
2,189 |
1,947 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
76 |
$5K |
| 99423 |
|
130 |
115 |
$5K |
| 90734 |
|
1,094 |
986 |
$4K |
| 90670 |
|
2,531 |
2,375 |
$4K |
| 99382 |
|
27 |
26 |
$3K |
| 90620 |
|
754 |
636 |
$2K |
| 99215 |
Prolong outpt/office vis |
20 |
16 |
$2K |
| 0051A |
|
38 |
32 |
$1K |
| 90686 |
|
3,950 |
3,674 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
542 |
486 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
94 |
57 |
$1K |
| 90633 |
|
1,713 |
1,600 |
$1K |
| 99173 |
|
221 |
217 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
71 |
$1K |
| 90710 |
|
428 |
381 |
$927.46 |
| 90723 |
|
858 |
793 |
$855.00 |
| 0072A |
|
17 |
17 |
$680.00 |
| 90681 |
|
965 |
915 |
$650.00 |
| 0071A |
|
14 |
14 |
$560.00 |
| 90658 |
|
465 |
453 |
$451.87 |
| 90672 |
|
1,004 |
896 |
$412.70 |
| 95117 |
|
23 |
12 |
$355.46 |
| 90696 |
|
441 |
396 |
$338.40 |
| 90688 |
|
860 |
780 |
$267.47 |
| 90648 |
|
1,076 |
1,007 |
$258.36 |
| 90677 |
|
295 |
287 |
$250.00 |
| 90707 |
|
466 |
450 |
$200.00 |
| 90716 |
|
492 |
474 |
$165.00 |
| 90619 |
|
417 |
335 |
$156.11 |
| 90715 |
|
470 |
413 |
$144.23 |
| 86308 |
|
30 |
26 |
$140.48 |
| 91320 |
|
67 |
48 |
$120.00 |
| 90700 |
|
133 |
117 |
$62.79 |
| 90674 |
|
655 |
595 |
$30.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41 |
36 |
$8.24 |
| 90697 |
|
746 |
719 |
$0.00 |
| 90744 |
|
233 |
226 |
$0.00 |
| 90698 |
|
607 |
572 |
$0.00 |
| 90657 |
|
76 |
75 |
$0.00 |
| 91307 |
|
138 |
121 |
$0.00 |
| 3008F |
|
37 |
33 |
$0.00 |
| 91319 |
|
35 |
29 |
$0.00 |
| 91305 |
|
59 |
49 |
$0.00 |
| 90660 |
|
33 |
32 |
$0.00 |
| 91318 |
|
19 |
12 |
$0.00 |
| 90621 |
|
68 |
67 |
$0.00 |
| 90661 |
|
106 |
103 |
$0.00 |
| 90461 |
|
124 |
113 |
$0.00 |
| 90662 |
|
16 |
16 |
$0.00 |