| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,575 |
17,579 |
$835K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,798 |
1,771 |
$149K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,895 |
2,692 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,435 |
1,416 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,126 |
1,109 |
$100K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,335 |
3,403 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,370 |
3,018 |
$81K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,759 |
5,419 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,889 |
3,010 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
650 |
635 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,927 |
4,530 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
391 |
$21K |
| 92567 |
|
1,163 |
1,117 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
213 |
$13K |
| 87807 |
|
1,092 |
1,012 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
242 |
236 |
$9K |
| 87428 |
|
132 |
124 |
$9K |
| 90461 |
|
1,628 |
1,385 |
$7K |
| 94014 |
|
86 |
83 |
$4K |
| 86308 |
|
409 |
403 |
$2K |
| 81003 |
|
928 |
890 |
$2K |
| 97169 |
|
24 |
20 |
$505.00 |
| 99000 |
|
42 |
41 |
$401.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$172.65 |
| 90686 |
|
820 |
809 |
$77.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
15 |
$29.15 |
| 90671 |
|
273 |
272 |
$0.44 |
| 90651 |
|
109 |
109 |
$0.31 |
| 90656 |
|
150 |
150 |
$0.01 |
| 90670 |
|
294 |
290 |
$0.00 |
| 90710 |
|
14 |
13 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90633 |
|
157 |
157 |
$0.00 |
| 90734 |
|
43 |
43 |
$0.00 |
| 90697 |
|
137 |
136 |
$0.00 |
| 90680 |
|
127 |
126 |
$0.00 |
| 90698 |
|
80 |
80 |
$0.00 |
| 90696 |
|
15 |
14 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |