| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,514 |
8,681 |
$359K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,049 |
3,497 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,233 |
1,143 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,080 |
981 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,385 |
2,393 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,788 |
1,446 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
586 |
521 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,836 |
2,028 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,329 |
2,111 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,243 |
1,158 |
$26K |
| 99000 |
|
2,358 |
2,135 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,414 |
1,149 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,782 |
1,400 |
$11K |
| 87428 |
|
249 |
238 |
$9K |
| 87807 |
|
571 |
500 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
124 |
124 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
98 |
$5K |
| 90651 |
|
109 |
81 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
51 |
$4K |
| 90686 |
|
1,113 |
1,087 |
$4K |
| 90461 |
|
1,581 |
465 |
$3K |
| 80061 |
Lipid panel |
430 |
417 |
$3K |
| 81003 |
|
1,124 |
1,038 |
$2K |
| 90480 |
|
67 |
64 |
$2K |
| 96160 |
|
1,021 |
940 |
$1K |
| 99384 |
|
19 |
18 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
464 |
400 |
$664.24 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$652.92 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$638.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
62 |
$565.24 |
| 0012A |
|
12 |
12 |
$400.00 |
| 90656 |
|
35 |
35 |
$331.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
680 |
576 |
$139.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
14 |
$71.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$11.90 |
| 91322 |
|
12 |
12 |
$0.02 |
| 36415 |
Collection of venous blood by venipuncture |
272 |
256 |
$0.00 |
| 91301 |
|
27 |
26 |
$0.00 |
| 36416 |
|
32 |
32 |
$0.00 |
| 91321 |
|
32 |
32 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90658 |
|
112 |
112 |
$0.00 |
| 90670 |
|
15 |
14 |
$0.00 |