| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,703 |
12,462 |
$818K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,759 |
2,307 |
$200K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,049 |
1,025 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,101 |
1,083 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,151 |
2,516 |
$79K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,285 |
1,141 |
$46K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,051 |
1,042 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,581 |
1,568 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
161 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
170 |
140 |
$13K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
45 |
12 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
149 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
835 |
793 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
360 |
227 |
$11K |
| A4550 |
Surgical trays |
167 |
131 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
100 |
97 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
24 |
$3K |
| 99070 |
|
345 |
289 |
$3K |
| 90474 |
|
270 |
269 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
54 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
84 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
121 |
120 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$818.28 |
| 96127 |
|
148 |
147 |
$732.96 |
| 83655 |
|
14 |
14 |
$207.76 |
| 85018 |
|
12 |
12 |
$24.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$1.44 |
| 90686 |
|
91 |
88 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| 90688 |
|
32 |
27 |
$0.00 |
| 90697 |
|
25 |
25 |
$0.00 |
| 90651 |
|
34 |
28 |
$0.00 |
| 90461 |
|
1,208 |
997 |
$0.00 |
| 90671 |
|
53 |
52 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90670 |
|
56 |
54 |
$0.00 |