| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,851 |
12,439 |
$531K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
824 |
813 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
871 |
815 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
458 |
437 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
436 |
411 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
768 |
707 |
$30K |
| 87428 |
|
603 |
563 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
277 |
263 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,653 |
759 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,317 |
775 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
145 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
377 |
359 |
$6K |
| 90461 |
|
757 |
642 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
356 |
344 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
338 |
268 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
234 |
219 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$440.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
60 |
$388.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
112 |
109 |
$199.16 |
| 81002 |
|
57 |
49 |
$149.70 |
| 90723 |
|
93 |
91 |
$0.01 |
| 90670 |
|
290 |
286 |
$0.01 |
| 90648 |
|
289 |
285 |
$0.01 |
| 90716 |
|
87 |
87 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90633 |
|
50 |
50 |
$0.00 |
| 90707 |
|
67 |
67 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90734 |
|
46 |
46 |
$0.00 |
| 90621 |
|
16 |
16 |
$0.00 |