| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,652 |
3,818 |
$146K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,831 |
1,631 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
768 |
658 |
$49K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,269 |
1,005 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
942 |
851 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,281 |
1,263 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
532 |
438 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
337 |
300 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,086 |
1,003 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,884 |
1,699 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
309 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
103 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
342 |
308 |
$7K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
32 |
31 |
$3K |
| 99383 |
|
32 |
32 |
$3K |
| 99000 |
|
345 |
297 |
$2K |
| 99382 |
|
26 |
25 |
$2K |
| 99381 |
|
28 |
26 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
92 |
$1K |
| S8301 |
Infection control supplies, not otherwise specified |
263 |
229 |
$1K |
| 99384 |
|
13 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
28 |
$712.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
28 |
$392.90 |
| 90671 |
|
262 |
211 |
$220.34 |
| 90461 |
|
54 |
39 |
$127.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
13 |
$87.18 |
| 90661 |
|
22 |
22 |
$54.82 |
| 90700 |
|
15 |
12 |
$0.00 |
| 90670 |
|
182 |
144 |
$0.00 |
| 90710 |
|
67 |
52 |
$0.00 |
| 90648 |
|
131 |
105 |
$0.00 |
| 90633 |
|
176 |
147 |
$0.00 |
| 90649 |
|
17 |
15 |
$0.00 |
| 90734 |
|
28 |
27 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90697 |
|
42 |
39 |
$0.00 |
| 96127 |
|
16 |
14 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90651 |
|
19 |
19 |
$0.00 |
| 90723 |
|
72 |
55 |
$0.00 |
| 90680 |
|
31 |
26 |
$0.00 |
| 90677 |
|
30 |
30 |
$0.00 |
| 90674 |
|
36 |
35 |
$0.00 |