| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,900 |
15,158 |
$1.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,101 |
5,524 |
$374K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,973 |
3,843 |
$187K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,841 |
9,969 |
$145K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,442 |
4,392 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
896 |
868 |
$88K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,899 |
1,748 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
596 |
584 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
526 |
516 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
488 |
473 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,374 |
3,051 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
587 |
545 |
$22K |
| 87807 |
|
1,438 |
1,354 |
$19K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
470 |
425 |
$8K |
| 81003 |
|
2,698 |
2,600 |
$6K |
| 85018 |
|
2,249 |
2,203 |
$6K |
| 90671 |
|
164 |
157 |
$5K |
| 99050 |
|
124 |
118 |
$2K |
| 90670 |
|
399 |
392 |
$969.00 |
| 86308 |
|
92 |
89 |
$575.53 |
| 81025 |
|
54 |
51 |
$397.81 |
| 83655 |
|
24 |
24 |
$230.50 |
| 90686 |
|
269 |
264 |
$171.21 |
| 90734 |
|
83 |
81 |
$112.25 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
87 |
81 |
$110.26 |
| 90648 |
|
83 |
82 |
$43.66 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$23.98 |
| 36416 |
|
1,932 |
1,694 |
$12.80 |
| 90651 |
|
103 |
101 |
$3.13 |
| 90633 |
|
39 |
38 |
$0.00 |
| 90710 |
|
40 |
40 |
$0.00 |
| 90723 |
|
29 |
28 |
$0.00 |
| 90620 |
|
25 |
24 |
$0.00 |
| 90680 |
|
122 |
121 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |