| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,991 |
16,778 |
$3.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,680 |
1,363 |
$214K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
154 |
147 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
465 |
135 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
24 |
$5K |
| 90698 |
|
18 |
18 |
$1K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
56 |
24 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
45 |
$670.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
51 |
$534.46 |
| 92551 |
|
31 |
29 |
$432.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,713 |
3,917 |
$339.73 |
| 90670 |
|
30 |
29 |
$212.17 |
| 90744 |
|
12 |
12 |
$212.17 |
| 99051 |
|
43 |
13 |
$149.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
154 |
80 |
$6.40 |
| 81002 |
|
312 |
224 |
$3.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,954 |
1,160 |
$0.00 |
| 1160F |
|
1,002 |
869 |
$0.00 |
| 1159F |
|
1,002 |
869 |
$0.00 |
| 3078F |
|
264 |
237 |
$0.00 |
| 4004F |
|
83 |
69 |
$0.00 |
| 3288F |
|
635 |
557 |
$0.00 |
| 3077F |
|
16 |
12 |
$0.00 |
| 99173 |
|
32 |
29 |
$0.00 |
| 90461 |
|
20 |
17 |
$0.00 |
| 90715 |
|
25 |
21 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
17 |
$0.00 |
| 1125F |
|
623 |
555 |
$0.00 |
| 3079F |
|
173 |
141 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,304 |
1,107 |
$0.00 |
| 1036F |
|
375 |
331 |
$0.00 |
| 1220F |
|
380 |
327 |
$0.00 |
| 3074F |
|
337 |
285 |
$0.00 |
| 3075F |
|
37 |
34 |
$0.00 |
| 3351F |
|
372 |
321 |
$0.00 |
| 1126F |
|
370 |
333 |
$0.00 |
| 3008F |
|
1,010 |
877 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$0.00 |