| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,912 |
32,609 |
$1.46M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,926 |
8,523 |
$595K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,437 |
10,165 |
$488K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,497 |
5,904 |
$453K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,921 |
6,163 |
$418K |
| 90461 |
|
6,202 |
5,431 |
$255K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,187 |
1,038 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,458 |
2,438 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,251 |
4,762 |
$59K |
| 85018 |
|
5,566 |
5,017 |
$13K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
384 |
325 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$6K |
| 99051 |
|
734 |
665 |
$4K |
| 87428 |
|
147 |
135 |
$4K |
| 36416 |
|
5,558 |
5,011 |
$4K |
| 87807 |
|
303 |
255 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,443 |
1,309 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
41 |
31 |
$1K |
| 99383 |
|
13 |
12 |
$1K |
| 81002 |
|
733 |
659 |
$975.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
23 |
$679.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
39 |
$630.87 |
| 90670 |
|
3,199 |
2,823 |
$621.15 |
| 0071A |
|
12 |
12 |
$494.00 |
| 0001A |
|
12 |
12 |
$492.00 |
| 0002A |
|
13 |
12 |
$488.00 |
| 90671 |
|
958 |
905 |
$473.08 |
| 90680 |
|
1,685 |
1,583 |
$347.60 |
| 90697 |
|
807 |
766 |
$314.54 |
| 96161 |
|
99 |
86 |
$274.99 |
| 90744 |
|
783 |
699 |
$86.71 |
| 90686 |
|
1,051 |
972 |
$81.25 |
| 90674 |
|
356 |
322 |
$74.66 |
| 90698 |
|
1,732 |
1,520 |
$70.88 |
| 96127 |
|
13 |
13 |
$42.46 |
| 91307 |
|
40 |
38 |
$0.10 |
| 90681 |
|
338 |
272 |
$0.09 |
| 90633 |
|
966 |
842 |
$0.06 |
| 90710 |
|
162 |
154 |
$0.00 |
| 91300 |
|
37 |
31 |
$0.00 |
| 90700 |
|
22 |
13 |
$0.00 |
| 90661 |
|
117 |
111 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90677 |
|
328 |
311 |
$0.00 |
| 90619 |
|
295 |
275 |
$0.00 |
| 96380 |
|
13 |
12 |
$0.00 |
| 90688 |
|
40 |
37 |
$0.00 |