| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,004 |
36,145 |
$1.68M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,616 |
16,367 |
$1.58M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,065 |
2,827 |
$188K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,779 |
2,577 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,179 |
1,956 |
$141K |
| 87430 |
|
12,854 |
12,040 |
$130K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,926 |
5,616 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,802 |
1,685 |
$108K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,131 |
3,849 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
753 |
691 |
$39K |
| 90670 |
|
1,376 |
1,302 |
$25K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
209 |
203 |
$19K |
| 90686 |
|
981 |
945 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,216 |
1,000 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,542 |
1,440 |
$11K |
| 90461 |
|
233 |
228 |
$10K |
| 90723 |
|
544 |
519 |
$10K |
| 90647 |
|
475 |
442 |
$9K |
| 87807 |
|
872 |
819 |
$9K |
| 90680 |
|
420 |
406 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
228 |
204 |
$5K |
| 90734 |
|
208 |
204 |
$5K |
| 90651 |
|
144 |
141 |
$5K |
| 92081 |
|
227 |
215 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
728 |
697 |
$4K |
| 90633 |
|
192 |
188 |
$4K |
| 90672 |
|
174 |
166 |
$3K |
| 99001 |
|
1,223 |
1,141 |
$3K |
| 90648 |
|
180 |
177 |
$3K |
| 99051 |
|
156 |
146 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,796 |
1,534 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
21 |
20 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
69 |
$2K |
| 90671 |
|
66 |
65 |
$1K |
| 92551 |
|
109 |
96 |
$1K |
| 90710 |
|
66 |
63 |
$1K |
| 90696 |
|
66 |
63 |
$1K |
| 90677 |
|
59 |
58 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
81 |
78 |
$814.26 |
| 90715 |
|
39 |
37 |
$732.23 |
| 71045 |
Radiologic examination, chest; single view |
40 |
39 |
$469.34 |
| 81003 |
|
148 |
141 |
$317.40 |
| 90619 |
|
16 |
16 |
$316.64 |
| 90656 |
|
14 |
14 |
$277.06 |
| 90700 |
|
13 |
13 |
$237.48 |
| 99177 |
|
175 |
170 |
$175.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$120.00 |
| 99000 |
|
12 |
12 |
$0.00 |