| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,408 |
10,752 |
$305K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,136 |
3,760 |
$157K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,793 |
2,395 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
228 |
211 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
237 |
226 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
280 |
251 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
174 |
166 |
$5K |
| 95923 |
|
71 |
57 |
$3K |
| 93922 |
|
72 |
58 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,232 |
1,146 |
$2K |
| 92551 |
|
226 |
215 |
$1K |
| 95117 |
|
166 |
70 |
$1K |
| 99173 |
|
225 |
214 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
47 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$1K |
| 81002 |
|
499 |
444 |
$926.26 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$868.47 |
| 99408 |
|
74 |
67 |
$860.87 |
| 95943 |
|
18 |
13 |
$721.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
63 |
$592.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
124 |
118 |
$566.54 |
| 3008F |
|
718 |
673 |
$430.00 |
| G0008 |
Administration of influenza virus vaccine |
148 |
132 |
$345.99 |
| 90688 |
|
45 |
44 |
$277.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
760 |
700 |
$258.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
147 |
135 |
$236.99 |
| 99497 |
|
17 |
15 |
$212.33 |
| 99490 |
Ccm add 20min |
55 |
53 |
$209.66 |
| 96127 |
|
76 |
69 |
$196.29 |
| 90674 |
|
28 |
27 |
$156.00 |
| 90658 |
|
14 |
14 |
$117.97 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
14 |
$24.28 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
146 |
134 |
$2.83 |