| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,943 |
20,103 |
$744K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,661 |
1,578 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,100 |
3,908 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,264 |
1,556 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
637 |
622 |
$27K |
| 90832 |
Psychotherapy, 30 minutes with patient |
676 |
436 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
189 |
182 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
288 |
263 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
174 |
170 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
139 |
$9K |
| 99490 |
Ccm add 20min |
309 |
288 |
$8K |
| 99051 |
|
2,907 |
2,712 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
253 |
238 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
67 |
$5K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
51 |
47 |
$3K |
| 87807 |
|
217 |
208 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
36 |
28 |
$2K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
76 |
75 |
$1K |
| 99173 |
|
50 |
45 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
20 |
12 |
$890.14 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$831.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$458.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
51 |
50 |
$355.50 |
| 92552 |
|
36 |
32 |
$339.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$253.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
51 |
$241.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
38 |
$219.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
320 |
304 |
$208.68 |
| 82962 |
|
39 |
38 |
$82.67 |
| 81002 |
|
231 |
220 |
$34.71 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
29 |
$14.30 |
| 90670 |
|
87 |
86 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90677 |
|
24 |
24 |
$0.00 |