| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
17,717 |
15,999 |
$6.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,981 |
31,155 |
$2.16M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,603 |
9,713 |
$375K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,591 |
2,575 |
$195K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,536 |
1,534 |
$130K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
723 |
711 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,457 |
1,416 |
$95K |
| 95957 |
|
599 |
599 |
$83K |
| 92653 |
|
591 |
591 |
$57K |
| 95816 |
|
601 |
601 |
$56K |
| 92551 |
|
3,806 |
3,794 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
662 |
662 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
513 |
512 |
$50K |
| 99383 |
|
519 |
518 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
455 |
450 |
$41K |
| 95930 |
|
598 |
598 |
$25K |
| 92650 |
|
591 |
591 |
$19K |
| 99173 |
|
3,797 |
3,785 |
$19K |
| 90648 |
|
1,572 |
1,535 |
$17K |
| 99382 |
|
246 |
246 |
$14K |
| 90670 |
|
1,120 |
1,095 |
$12K |
| 90723 |
|
1,120 |
1,085 |
$12K |
| 99381 |
|
187 |
185 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
257 |
255 |
$11K |
| 90633 |
|
909 |
896 |
$10K |
| 90680 |
|
909 |
874 |
$10K |
| 99384 |
|
67 |
67 |
$5K |
| 90677 |
|
489 |
480 |
$5K |
| 90700 |
|
468 |
466 |
$5K |
| 90716 |
|
447 |
442 |
$5K |
| 90649 |
|
188 |
187 |
$5K |
| 90707 |
|
409 |
405 |
$5K |
| 90710 |
|
263 |
263 |
$3K |
| 90658 |
|
226 |
223 |
$3K |
| 87428 |
|
39 |
39 |
$2K |
| 90696 |
|
172 |
172 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
226 |
225 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
219 |
214 |
$1K |
| 90734 |
|
84 |
84 |
$928.35 |
| 90715 |
|
69 |
69 |
$769.05 |
| 90713 |
|
25 |
25 |
$275.85 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
39 |
39 |
$231.54 |