| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,179 |
11,848 |
$450K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
7,447 |
6,490 |
$252K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,754 |
5,071 |
$236K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,933 |
2,681 |
$132K |
| S8301 |
Infection control supplies, not otherwise specified |
6,159 |
5,234 |
$84K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,009 |
3,327 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,297 |
1,108 |
$82K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,407 |
4,505 |
$65K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,809 |
1,656 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,434 |
3,874 |
$53K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
303 |
292 |
$36K |
| 99000 |
|
4,451 |
3,996 |
$35K |
| 87899 |
|
3,992 |
3,321 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,542 |
1,345 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
774 |
669 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,279 |
989 |
$8K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
385 |
369 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
428 |
184 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
67 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
43 |
41 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$3K |
| 99384 |
|
37 |
37 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
31 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
57 |
$2K |
| 87807 |
|
133 |
121 |
$1K |
| 99382 |
|
30 |
30 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18 |
14 |
$965.64 |
| 92567 |
|
78 |
78 |
$963.96 |
| 87428 |
|
34 |
32 |
$808.39 |
| 92588 |
|
76 |
76 |
$770.89 |
| 81003 |
|
416 |
382 |
$711.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
553 |
491 |
$707.47 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
68 |
68 |
$544.34 |
| 92587 |
|
63 |
63 |
$522.44 |
| 96160 |
|
111 |
111 |
$154.21 |
| 92551 |
|
18 |
18 |
$68.62 |
| 0012A |
|
13 |
13 |
$68.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
116 |
88 |
$60.85 |
| 0011A |
|
12 |
12 |
$50.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
28 |
$49.14 |
| 90461 |
|
136 |
100 |
$20.13 |
| 91301 |
|
33 |
33 |
$0.02 |
| 36416 |
|
1,432 |
1,063 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
548 |
456 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
46 |
46 |
$0.00 |
| 97802 |
|
307 |
303 |
$0.00 |
| 90697 |
|
15 |
14 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 99173 |
|
250 |
247 |
$0.00 |
| 90633 |
|
29 |
29 |
$0.00 |
| 97803 |
|
13 |
13 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| S9083 |
Global fee urgent care centers |
13 |
12 |
$0.00 |
| 99072 |
|
30 |
18 |
$0.00 |