| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,634 |
9,016 |
$383K |
| 54160 |
|
236 |
234 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
333 |
330 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,534 |
703 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,454 |
1,339 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,821 |
734 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
344 |
329 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
161 |
160 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
138 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
147 |
142 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
121 |
$7K |
| 99000 |
|
659 |
636 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
813 |
776 |
$5K |
| 81002 |
|
1,312 |
827 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
195 |
184 |
$2K |
| 90461 |
|
481 |
390 |
$2K |
| 92567 |
|
131 |
110 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
122 |
122 |
$993.08 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$713.46 |
| 99050 |
|
84 |
79 |
$654.34 |
| 82947 |
|
205 |
195 |
$609.69 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
63 |
63 |
$29.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$1.44 |
| 90670 |
|
108 |
108 |
$0.00 |
| 90648 |
|
110 |
109 |
$0.00 |
| 90723 |
|
37 |
37 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |