| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,707 |
26,006 |
$1.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,412 |
5,351 |
$334K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,915 |
8,071 |
$224K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,265 |
7,489 |
$206K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,446 |
3,269 |
$165K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
823 |
179 |
$142K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,598 |
2,469 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,758 |
1,668 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,520 |
1,407 |
$88K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,849 |
6,275 |
$85K |
| 90461 |
|
2,045 |
1,940 |
$75K |
| 90791 |
Psychiatric diagnostic evaluation |
727 |
712 |
$68K |
| 90671 |
|
365 |
349 |
$67K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
728 |
702 |
$67K |
| 99173 |
|
1,704 |
1,636 |
$56K |
| 90887 |
|
1,385 |
1,055 |
$52K |
| 90670 |
|
516 |
480 |
$41K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
201 |
189 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,225 |
1,843 |
$37K |
| 87807 |
|
2,851 |
2,569 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
444 |
436 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
234 |
227 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
306 |
279 |
$17K |
| 99205 |
Prolong outpt/office vis |
117 |
112 |
$15K |
| 92551 |
|
1,618 |
1,545 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
190 |
140 |
$15K |
| 90698 |
|
536 |
499 |
$14K |
| 90680 |
|
426 |
404 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
461 |
417 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
184 |
165 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
196 |
177 |
$11K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
621 |
293 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
246 |
224 |
$7K |
| 83655 |
|
673 |
645 |
$6K |
| T2023 |
Targeted case management; per month |
15 |
15 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
163 |
162 |
$5K |
| 85018 |
|
2,636 |
2,507 |
$4K |
| 90633 |
|
318 |
300 |
$4K |
| 36416 |
|
2,353 |
2,263 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
291 |
146 |
$4K |
| 69210 |
|
163 |
153 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
149 |
135 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$3K |
| 99406 |
|
463 |
371 |
$3K |
| 90744 |
|
284 |
271 |
$2K |
| 99401 |
|
660 |
564 |
$1K |
| 99188 |
|
64 |
63 |
$905.30 |
| 96161 |
|
568 |
452 |
$847.23 |
| 90619 |
|
13 |
13 |
$799.50 |
| 90710 |
|
30 |
30 |
$641.56 |
| 90686 |
|
60 |
60 |
$560.81 |
| 90651 |
|
35 |
33 |
$507.20 |
| 90700 |
|
38 |
38 |
$363.79 |
| 90715 |
|
30 |
29 |
$363.39 |
| 81002 |
|
423 |
391 |
$337.15 |
| 90716 |
|
17 |
14 |
$293.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,587 |
1,503 |
$211.52 |
| 96127 |
|
40 |
40 |
$139.02 |
| 90648 |
|
30 |
29 |
$131.05 |
| 90707 |
|
16 |
13 |
$87.31 |
| 90696 |
|
14 |
13 |
$48.00 |
| 99051 |
|
23 |
21 |
$33.75 |
| 90734 |
|
18 |
17 |
$0.00 |