| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,327 |
6,214 |
$444K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,384 |
796 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,216 |
1,065 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,193 |
1,004 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
235 |
192 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
208 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,565 |
1,301 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
91 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
230 |
206 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
49 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
269 |
188 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
101 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
28 |
$2K |
| 36416 |
|
1,495 |
1,241 |
$2K |
| 81025 |
|
341 |
310 |
$2K |
| 81003 |
|
819 |
716 |
$1K |
| 99173 |
|
238 |
198 |
$1K |
| 96160 |
|
90 |
53 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
108 |
98 |
$630.64 |
| 96127 |
|
117 |
76 |
$422.04 |
| 90756 |
|
19 |
17 |
$332.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
424 |
384 |
$183.54 |
| 92551 |
|
21 |
19 |
$147.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$144.59 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
60 |
58 |
$135.75 |