| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,205 |
6,849 |
$339K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,734 |
4,954 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,222 |
3,774 |
$217K |
| 99215 |
Prolong outpt/office vis |
2,561 |
2,372 |
$202K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,260 |
5,443 |
$163K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,126 |
5,491 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
760 |
743 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,183 |
2,821 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
668 |
647 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
689 |
623 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
228 |
$21K |
| 87807 |
|
1,838 |
1,600 |
$19K |
| 99429 |
|
493 |
475 |
$16K |
| 92567 |
|
1,247 |
1,190 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,949 |
1,330 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
916 |
707 |
$10K |
| 92587 |
|
498 |
482 |
$9K |
| 90461 |
|
1,194 |
1,044 |
$4K |
| 0072A |
|
88 |
87 |
$3K |
| 0071A |
|
81 |
81 |
$3K |
| 83655 |
|
150 |
148 |
$1K |
| 0111A |
|
35 |
32 |
$1K |
| 69210 |
|
43 |
42 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
544 |
487 |
$783.13 |
| 96160 |
|
268 |
263 |
$549.47 |
| 0073A |
|
13 |
13 |
$520.00 |
| 0001A |
|
18 |
17 |
$520.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
26 |
$324.95 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
27 |
26 |
$283.84 |
| 81002 |
|
99 |
81 |
$280.32 |
| 96381 |
|
12 |
12 |
$132.48 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
26 |
21 |
$101.15 |
| 90688 |
|
1,650 |
1,624 |
$51.31 |
| 90671 |
|
173 |
166 |
$0.02 |
| 91311 |
|
63 |
58 |
$0.00 |
| 90670 |
|
197 |
189 |
$0.00 |
| 91300 |
|
43 |
38 |
$0.00 |
| 90680 |
|
145 |
138 |
$0.00 |
| 90660 |
|
43 |
43 |
$0.00 |
| 91307 |
|
205 |
180 |
$0.00 |
| 90697 |
|
150 |
143 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |