| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,101 |
22,215 |
$1.54M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,223 |
5,987 |
$413K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,082 |
5,841 |
$406K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,243 |
4,071 |
$270K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,784 |
16,416 |
$165K |
| 87428 |
|
1,843 |
1,567 |
$159K |
| 90461 |
|
2,818 |
2,622 |
$144K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,743 |
9,233 |
$127K |
| 90700 |
|
6,090 |
5,881 |
$116K |
| 99401 |
|
3,907 |
3,688 |
$99K |
| 90670 |
|
4,864 |
4,712 |
$92K |
| 90648 |
|
4,768 |
4,598 |
$90K |
| 90713 |
|
4,709 |
4,561 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,854 |
4,547 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
759 |
678 |
$66K |
| 90680 |
|
3,257 |
3,151 |
$62K |
| 99460 |
|
855 |
714 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
754 |
731 |
$48K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
913 |
739 |
$48K |
| 90744 |
|
2,248 |
2,178 |
$43K |
| 99462 |
|
1,211 |
623 |
$39K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,261 |
1,231 |
$36K |
| 99173 |
|
7,376 |
7,044 |
$33K |
| 87400 |
|
3,760 |
2,983 |
$32K |
| 90633 |
|
1,603 |
1,555 |
$30K |
| 90688 |
|
1,494 |
1,426 |
$27K |
| 92551 |
|
5,756 |
5,502 |
$25K |
| 90716 |
|
1,275 |
1,233 |
$25K |
| 90707 |
|
1,298 |
1,255 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
1,223 |
1,094 |
$22K |
| 90687 |
|
1,003 |
945 |
$18K |
| 87807 |
|
1,689 |
1,601 |
$18K |
| 83655 |
|
1,145 |
1,105 |
$16K |
| 90686 |
|
544 |
517 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
137 |
116 |
$3K |
| 54150 |
|
16 |
16 |
$2K |
| 90651 |
|
88 |
88 |
$2K |
| 81000 |
|
494 |
467 |
$2K |
| 90734 |
|
74 |
74 |
$1K |
| 90715 |
|
62 |
61 |
$1K |
| 36416 |
|
468 |
445 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
509 |
468 |
$847.74 |
| 74022 |
|
12 |
12 |
$444.00 |
| 86308 |
|
52 |
51 |
$305.28 |
| 82947 |
|
15 |
12 |
$44.79 |
| 85014 |
|
12 |
12 |
$9.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$0.00 |