| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101,073 |
74,305 |
$1.60M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
38,001 |
30,589 |
$1.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,339 |
41,113 |
$1.19M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53,185 |
21,808 |
$431K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,319 |
4,994 |
$384K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,888 |
4,597 |
$372K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,248 |
3,995 |
$293K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24,111 |
10,068 |
$215K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,452 |
2,288 |
$159K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,926 |
11,557 |
$99K |
| 87807 |
|
5,339 |
4,372 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
482 |
467 |
$34K |
| 87428 |
|
1,574 |
1,399 |
$27K |
| 90461 |
|
6,648 |
5,069 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
451 |
429 |
$17K |
| 99381 |
|
240 |
228 |
$15K |
| 99429 |
|
424 |
385 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,430 |
1,020 |
$11K |
| 74018 |
|
789 |
733 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
370 |
346 |
$11K |
| 86580 |
|
1,349 |
1,261 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
721 |
599 |
$5K |
| 81002 |
|
1,735 |
1,582 |
$3K |
| 99051 |
|
746 |
630 |
$3K |
| 81025 |
|
260 |
244 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
668 |
552 |
$654.56 |
| 29540 |
|
13 |
12 |
$276.24 |
| 73600 |
|
15 |
12 |
$213.28 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$192.57 |
| 80061 |
Lipid panel |
16 |
16 |
$90.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$65.28 |
| 82947 |
|
16 |
16 |
$29.70 |
| 84030 |
|
25 |
24 |
$13.86 |
| 90686 |
|
1,963 |
1,881 |
$0.80 |
| 90620 |
|
507 |
493 |
$0.47 |
| 90671 |
|
296 |
294 |
$0.35 |
| 90651 |
|
122 |
122 |
$0.19 |
| 90621 |
|
55 |
55 |
$0.08 |
| 90677 |
|
61 |
60 |
$0.08 |
| 90734 |
|
1,559 |
1,505 |
$0.05 |
| 90715 |
|
782 |
760 |
$0.02 |
| 90710 |
|
1,404 |
1,338 |
$0.01 |
| 90649 |
|
1,245 |
1,189 |
$0.00 |
| 90681 |
|
1,165 |
1,109 |
$0.00 |
| 90648 |
|
2,416 |
2,263 |
$0.00 |
| 90700 |
|
662 |
623 |
$0.00 |
| 90670 |
|
2,376 |
2,196 |
$0.00 |
| 90633 |
|
1,651 |
1,556 |
$0.00 |
| 90696 |
|
538 |
513 |
$0.00 |
| 90723 |
|
1,751 |
1,639 |
$0.00 |
| 90698 |
|
38 |
32 |
$0.00 |