| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,377 |
15,154 |
$1.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,809 |
1,664 |
$170K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,670 |
6,171 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
605 |
600 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
593 |
592 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,848 |
2,821 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
476 |
475 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
498 |
494 |
$43K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,525 |
1,518 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,617 |
1,513 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
243 |
243 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
421 |
395 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
194 |
181 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
170 |
161 |
$3K |
| 90474 |
|
66 |
66 |
$1K |
| 87807 |
|
89 |
86 |
$1K |
| 83655 |
|
53 |
53 |
$657.08 |
| 96127 |
|
161 |
161 |
$656.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
14 |
$386.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$118.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
23 |
14 |
$48.51 |
| 85018 |
|
15 |
15 |
$36.15 |
| 90688 |
|
433 |
433 |
$19.19 |
| 90734 |
|
51 |
51 |
$0.00 |
| 90670 |
|
75 |
75 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 96160 |
|
315 |
315 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |