| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,875 |
9,761 |
$385K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,419 |
4,248 |
$227K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,030 |
1,411 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
828 |
729 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,079 |
862 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
570 |
479 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
439 |
406 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,665 |
2,403 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,817 |
5,052 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,937 |
760 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,250 |
1,029 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
783 |
635 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,178 |
1,020 |
$9K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,645 |
3,039 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
41 |
$3K |
| 86328 |
|
150 |
62 |
$3K |
| 92551 |
|
302 |
296 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
30 |
$2K |
| 86318 |
|
354 |
201 |
$2K |
| 81002 |
|
682 |
581 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,385 |
2,847 |
$1K |
| 85018 |
|
577 |
518 |
$963.22 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
22 |
$800.72 |
| 90686 |
|
117 |
102 |
$675.99 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$643.43 |
| 99173 |
|
351 |
315 |
$481.16 |
| 90474 |
|
78 |
62 |
$474.76 |
| 87807 |
|
60 |
36 |
$395.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
524 |
377 |
$48.67 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$46.38 |
| 94760 |
|
47 |
25 |
$7.59 |
| 90671 |
|
141 |
104 |
$1.17 |
| 90633 |
|
50 |
38 |
$0.07 |
| 90677 |
|
29 |
18 |
$0.04 |
| 90647 |
|
18 |
13 |
$0.02 |
| 90670 |
|
136 |
106 |
$0.00 |
| 90710 |
|
14 |
12 |
$0.00 |
| 90648 |
|
30 |
27 |
$0.00 |
| 90681 |
|
15 |
13 |
$0.00 |
| 90680 |
|
43 |
37 |
$0.00 |
| 90696 |
|
15 |
12 |
$0.00 |