| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,281 |
22,381 |
$983K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,923 |
8,797 |
$588K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18,872 |
17,042 |
$169K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,835 |
6,819 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,103 |
2,725 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,809 |
1,629 |
$120K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,841 |
5,243 |
$106K |
| 87428 |
|
1,802 |
1,660 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,530 |
1,408 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
679 |
603 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,259 |
1,187 |
$43K |
| 87807 |
|
2,063 |
1,877 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
162 |
123 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
303 |
248 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
98 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
49 |
$2K |
| 99381 |
|
35 |
30 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
28 |
$2K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
12 |
12 |
$2K |
| 90670 |
|
1,136 |
1,042 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
52 |
$993.06 |
| 90698 |
|
1,130 |
1,044 |
$741.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
43 |
$531.40 |
| 3008F |
|
85 |
54 |
$500.00 |
| 90680 |
|
420 |
401 |
$419.64 |
| 81003 |
|
225 |
198 |
$334.85 |
| 83655 |
|
15 |
15 |
$151.77 |
| 90715 |
|
14 |
12 |
$111.92 |
| 90649 |
|
16 |
12 |
$106.38 |
| 90744 |
|
340 |
304 |
$92.80 |
| 90633 |
|
189 |
170 |
$40.90 |
| 85018 |
|
15 |
15 |
$33.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
13 |
$31.42 |
| 90688 |
|
79 |
74 |
$20.00 |
| 90710 |
|
120 |
102 |
$0.00 |
| 90696 |
|
32 |
27 |
$0.00 |