| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,287 |
11,769 |
$467K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,413 |
2,742 |
$127K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,299 |
1,957 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,078 |
945 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,021 |
838 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,341 |
2,472 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,117 |
870 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
361 |
329 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
819 |
425 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
254 |
231 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
829 |
464 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,122 |
900 |
$11K |
| 99173 |
|
1,540 |
1,377 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
425 |
373 |
$8K |
| 81003 |
|
3,146 |
2,431 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,275 |
1,028 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
145 |
89 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
322 |
255 |
$1K |
| 96127 |
|
468 |
345 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
706 |
563 |
$1K |
| 90686 |
|
241 |
201 |
$727.75 |
| 87807 |
|
97 |
74 |
$726.47 |
| 81025 |
|
150 |
125 |
$655.07 |
| 95117 |
|
118 |
24 |
$597.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,193 |
966 |
$536.89 |
| 99381 |
|
18 |
12 |
$497.38 |
| 90670 |
|
595 |
512 |
$430.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
243 |
183 |
$350.21 |
| 96161 |
|
35 |
24 |
$294.30 |
| J3490 |
Unclassified drugs |
15 |
12 |
$208.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
16 |
16 |
$144.36 |
| 90680 |
|
167 |
148 |
$75.20 |
| 90647 |
|
279 |
245 |
$45.54 |
| 0502F |
|
1,997 |
1,243 |
$0.00 |
| 3078F |
|
163 |
139 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 3074F |
|
210 |
179 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 3079F |
|
43 |
37 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |