| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,599 |
5,819 |
$338K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,639 |
7,446 |
$315K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,940 |
1,923 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,307 |
1,304 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,417 |
1,355 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,224 |
3,394 |
$78K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,330 |
2,071 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,754 |
6,266 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,839 |
2,719 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,517 |
4,320 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
347 |
345 |
$31K |
| 92588 |
|
1,500 |
1,490 |
$26K |
| 99429 |
|
699 |
689 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,680 |
1,370 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
268 |
258 |
$11K |
| 87807 |
|
860 |
813 |
$9K |
| 90461 |
|
1,458 |
1,284 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
216 |
$5K |
| 83655 |
|
284 |
275 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
19 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99000 |
|
69 |
64 |
$745.20 |
| 81002 |
|
219 |
199 |
$618.84 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
505 |
462 |
$489.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
885 |
839 |
$358.71 |
| 90680 |
|
691 |
689 |
$0.00 |
| 90698 |
|
882 |
880 |
$0.00 |
| 90744 |
|
333 |
330 |
$0.00 |
| 90686 |
|
837 |
835 |
$0.00 |
| 90677 |
|
266 |
264 |
$0.00 |
| 90651 |
|
38 |
38 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90633 |
|
378 |
370 |
$0.00 |
| 90670 |
|
846 |
840 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |