| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87,432 |
72,107 |
$2.74M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
39,836 |
37,020 |
$1.30M |
| S8301 |
Infection control supplies, not otherwise specified |
34,115 |
29,015 |
$598K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40,598 |
18,947 |
$480K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39,180 |
36,591 |
$451K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,242 |
6,153 |
$418K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,783 |
5,677 |
$363K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,929 |
4,826 |
$330K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,962 |
10,079 |
$257K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,090 |
2,999 |
$191K |
| 87809 |
|
8,405 |
8,106 |
$126K |
| 99429 |
|
4,484 |
4,445 |
$125K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,818 |
1,797 |
$94K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,866 |
11,354 |
$68K |
| 87807 |
|
5,279 |
4,900 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,197 |
4,719 |
$50K |
| 99000 |
|
3,044 |
2,940 |
$27K |
| 81002 |
|
9,179 |
8,777 |
$23K |
| 90461 |
|
7,213 |
5,840 |
$22K |
| 99406 |
|
11,263 |
10,598 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
825 |
701 |
$9K |
| 96161 |
|
3,504 |
3,450 |
$6K |
| 83655 |
|
266 |
262 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
43 |
$2K |
| 92567 |
|
65 |
64 |
$802.45 |
| CP002 |
|
76 |
50 |
$744.80 |
| 99381 |
|
12 |
12 |
$673.62 |
| 90677 |
|
787 |
778 |
$600.20 |
| 97802 |
|
7,013 |
6,886 |
$468.60 |
| 99051 |
|
299 |
294 |
$463.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
610 |
527 |
$390.03 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
7,054 |
6,933 |
$355.80 |
| 84030 |
|
80 |
78 |
$278.70 |
| 90674 |
|
15 |
15 |
$0.02 |
| 90686 |
|
1,075 |
1,071 |
$0.01 |
| S9451 |
Exercise classes, non-physician provider, per session |
7,024 |
6,898 |
$0.01 |
| 90651 |
|
1,040 |
1,024 |
$0.00 |
| 90716 |
|
1,260 |
1,247 |
$0.00 |
| 90723 |
|
1,002 |
993 |
$0.00 |
| 90696 |
|
487 |
479 |
$0.00 |
| 90680 |
|
1,552 |
1,528 |
$0.00 |
| 90620 |
|
575 |
565 |
$0.00 |
| 90698 |
|
383 |
372 |
$0.00 |
| 90744 |
|
25 |
24 |
$0.00 |
| 90656 |
|
127 |
125 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 97169 |
|
36 |
34 |
$0.00 |
| 90715 |
|
502 |
497 |
$0.00 |
| 90633 |
|
1,513 |
1,502 |
$0.00 |
| 90648 |
|
2,041 |
2,017 |
$0.00 |
| 90672 |
|
1,953 |
1,929 |
$0.00 |
| 90734 |
|
1,131 |
1,110 |
$0.00 |
| 90707 |
|
1,293 |
1,281 |
$0.00 |
| 90700 |
|
678 |
668 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
914 |
768 |
$0.00 |
| 90685 |
|
34 |
34 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |