| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,874 |
9,613 |
$362K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,296 |
1,197 |
$100K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,261 |
2,063 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
962 |
908 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
709 |
673 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
523 |
486 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,527 |
1,416 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
496 |
427 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,069 |
925 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,086 |
490 |
$11K |
| 99490 |
Ccm add 20min |
2,007 |
1,993 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
146 |
137 |
$7K |
| 87634 |
|
132 |
123 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
105 |
91 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
75 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
58 |
53 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
29 |
$1K |
| 99439 |
|
151 |
150 |
$715.48 |
| 90461 |
|
58 |
36 |
$320.82 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
16 |
$31.10 |
| 81003 |
|
17 |
14 |
$17.47 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
30 |
$3.88 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
45 |
41 |
$0.00 |
| 90686 |
|
78 |
74 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 99497 |
|
29 |
27 |
$0.00 |
| 99072 |
|
134 |
129 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |