| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,225 |
14,052 |
$851K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,397 |
9,641 |
$395K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,724 |
4,092 |
$206K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,622 |
4,068 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,132 |
1,942 |
$133K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,129 |
4,675 |
$114K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,617 |
7,969 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,602 |
1,430 |
$90K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,795 |
1,458 |
$57K |
| 87430 |
|
4,108 |
3,813 |
$43K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
323 |
282 |
$28K |
| 87631 |
|
228 |
163 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
524 |
508 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
354 |
301 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
431 |
399 |
$16K |
| 87807 |
|
1,526 |
1,347 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
511 |
383 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
571 |
405 |
$9K |
| 87428 |
|
138 |
125 |
$7K |
| 99173 |
|
655 |
572 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
25 |
$2K |
| 90461 |
|
3,349 |
2,889 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
27 |
$2K |
| 92587 |
|
72 |
50 |
$1K |
| 90670 |
|
919 |
824 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
13 |
$973.29 |
| 92558 |
|
82 |
49 |
$274.89 |
| 90677 |
|
70 |
62 |
$253.21 |
| 83655 |
|
15 |
15 |
$247.79 |
| 81003 |
|
136 |
113 |
$231.48 |
| 90671 |
|
75 |
64 |
$222.55 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
77 |
$186.10 |
| 90680 |
|
277 |
258 |
$137.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
43 |
$135.42 |
| 90686 |
|
162 |
141 |
$122.63 |
| 96127 |
|
33 |
25 |
$105.82 |
| 86756 |
|
198 |
115 |
$92.80 |
| 90698 |
|
409 |
371 |
$61.05 |
| 36416 |
|
15 |
15 |
$46.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$6.27 |
| 90633 |
|
53 |
52 |
$0.01 |
| 90707 |
|
13 |
12 |
$0.01 |
| 90716 |
|
13 |
12 |
$0.01 |
| 90685 |
|
16 |
14 |
$0.00 |
| 90744 |
|
95 |
87 |
$0.00 |
| 3008F |
|
147 |
128 |
$0.00 |
| 90697 |
|
49 |
39 |
$0.00 |