| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,771 |
24,274 |
$921K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,442 |
5,111 |
$323K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,581 |
4,399 |
$294K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,043 |
2,831 |
$207K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,841 |
9,333 |
$127K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,720 |
4,433 |
$122K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,826 |
6,477 |
$106K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,465 |
2,353 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,577 |
1,492 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,409 |
1,330 |
$79K |
| 87634 |
|
1,280 |
1,206 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
839 |
813 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,310 |
3,064 |
$42K |
| 97802 |
|
3,914 |
3,728 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,548 |
1,175 |
$34K |
| 90461 |
|
629 |
610 |
$30K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
393 |
355 |
$25K |
| 99460 |
|
511 |
462 |
$20K |
| 99173 |
|
340 |
330 |
$14K |
| 90474 |
|
1,293 |
1,231 |
$11K |
| 87807 |
|
630 |
579 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
298 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
101 |
$6K |
| 90670 |
|
3,189 |
3,033 |
$4K |
| 83655 |
|
356 |
345 |
$4K |
| 96161 |
|
1,160 |
1,052 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
127 |
121 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
343 |
316 |
$2K |
| 90680 |
|
1,560 |
1,478 |
$2K |
| 90723 |
|
1,938 |
1,861 |
$2K |
| 99462 |
|
82 |
69 |
$2K |
| 97803 |
|
219 |
210 |
$2K |
| 0071A |
|
42 |
38 |
$1K |
| 0072A |
|
36 |
36 |
$1K |
| 90633 |
|
1,021 |
958 |
$1K |
| 54150 |
|
13 |
13 |
$976.26 |
| 90686 |
|
1,434 |
1,394 |
$875.63 |
| 96160 |
|
339 |
314 |
$864.50 |
| 90647 |
|
475 |
457 |
$786.82 |
| 90648 |
|
2,668 |
2,574 |
$727.38 |
| 99177 |
|
219 |
218 |
$584.22 |
| 99188 |
|
42 |
42 |
$490.10 |
| 90734 |
|
34 |
28 |
$271.62 |
| 90649 |
|
51 |
50 |
$233.38 |
| 99174 |
|
13 |
13 |
$197.40 |
| 90700 |
|
76 |
64 |
$92.00 |
| 90710 |
|
52 |
52 |
$36.80 |
| 90696 |
|
40 |
40 |
$36.80 |
| 81003 |
|
65 |
64 |
$31.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
59 |
57 |
$31.52 |
| 36416 |
|
85 |
81 |
$23.70 |
| 90656 |
|
25 |
25 |
$12.40 |
| 90685 |
|
14 |
12 |
$0.00 |