| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79,536 |
56,015 |
$1.68M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,940 |
32,684 |
$1.43M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,694 |
2,229 |
$89K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,687 |
2,656 |
$74K |
| 99173 |
|
1,820 |
1,671 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,857 |
2,575 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
622 |
582 |
$29K |
| 90674 |
|
1,276 |
1,187 |
$28K |
| 90633 |
|
1,201 |
1,125 |
$22K |
| 99441 |
|
779 |
749 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
367 |
299 |
$15K |
| 90734 |
|
174 |
164 |
$14K |
| 92551 |
|
1,704 |
1,593 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
845 |
696 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
206 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
673 |
577 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
58 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
462 |
266 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
75 |
67 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
603 |
516 |
$3K |
| 90715 |
|
75 |
74 |
$2K |
| 90688 |
|
108 |
102 |
$1K |
| 92552 |
|
154 |
134 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
79 |
72 |
$1K |
| 90461 |
|
69 |
68 |
$954.00 |
| 99384 |
|
15 |
13 |
$918.67 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$794.00 |
| 3074F |
|
344 |
190 |
$478.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
46 |
$375.09 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,714 |
1,343 |
$283.42 |
| 72100 |
|
13 |
13 |
$254.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
119 |
95 |
$173.20 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
39 |
39 |
$164.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$117.63 |
| 86580 |
|
12 |
12 |
$55.41 |
| 3078F |
|
334 |
214 |
$0.35 |
| 3075F |
|
127 |
89 |
$0.13 |
| 3008F |
|
354 |
256 |
$0.00 |
| 3079F |
|
59 |
35 |
$0.00 |