| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,043 |
11,488 |
$470K |
| 54160 |
|
888 |
880 |
$113K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,752 |
2,586 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
463 |
461 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,559 |
924 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
639 |
619 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
303 |
292 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
252 |
252 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,486 |
719 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
131 |
$11K |
| 99000 |
|
894 |
857 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
146 |
141 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,399 |
1,338 |
$8K |
| 81002 |
|
2,417 |
1,536 |
$7K |
| 99050 |
|
451 |
418 |
$6K |
| 54162 |
|
26 |
26 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
431 |
390 |
$4K |
| 59514 |
|
15 |
14 |
$4K |
| 99215 |
Prolong outpt/office vis |
52 |
50 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
327 |
323 |
$3K |
| 90461 |
|
726 |
614 |
$2K |
| 99051 |
|
63 |
58 |
$761.94 |
| 92567 |
|
57 |
56 |
$606.23 |
| 82947 |
|
206 |
201 |
$450.61 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$422.33 |
| 81025 |
|
35 |
33 |
$224.13 |
| 80061 |
Lipid panel |
20 |
18 |
$102.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$63.44 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
172 |
162 |
$61.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
33 |
29 |
$2.25 |
| 90723 |
|
109 |
108 |
$0.00 |
| 90681 |
|
25 |
25 |
$0.00 |
| 90670 |
|
175 |
174 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90734 |
|
21 |
21 |
$0.00 |
| 90648 |
|
209 |
208 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |