| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,005 |
14,206 |
$584K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,513 |
2,480 |
$206K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,641 |
2,608 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,158 |
2,141 |
$192K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,935 |
7,356 |
$148K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,189 |
9,546 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,527 |
1,512 |
$116K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,647 |
1,573 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
727 |
711 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,138 |
1,185 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
428 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,435 |
2,405 |
$20K |
| 90461 |
|
2,302 |
1,964 |
$16K |
| 92551 |
|
1,274 |
1,254 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$3K |
| 96160 |
|
1,416 |
1,403 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
86 |
76 |
$978.85 |
| 81003 |
|
531 |
479 |
$939.91 |
| 36410 |
|
166 |
162 |
$904.10 |
| 83051 |
|
96 |
95 |
$538.78 |
| 87807 |
|
15 |
13 |
$154.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
47 |
$81.17 |
| 90686 |
|
2,291 |
2,268 |
$2.91 |
| 90697 |
|
486 |
484 |
$2.79 |
| 90677 |
|
343 |
341 |
$1.76 |
| 90619 |
|
260 |
257 |
$1.54 |
| 90620 |
|
353 |
348 |
$0.52 |
| 90651 |
|
868 |
861 |
$0.33 |
| 90734 |
|
510 |
506 |
$0.32 |
| 90715 |
|
297 |
295 |
$0.07 |
| 90670 |
|
1,431 |
1,417 |
$0.03 |
| 90648 |
|
521 |
517 |
$0.02 |
| 90723 |
|
244 |
240 |
$0.01 |
| 90710 |
|
705 |
702 |
$0.01 |
| 90633 |
|
1,053 |
1,037 |
$0.01 |
| 90681 |
|
138 |
135 |
$0.01 |
| 90680 |
|
457 |
456 |
$0.00 |
| 90696 |
|
266 |
265 |
$0.00 |
| 90698 |
|
108 |
106 |
$0.00 |
| 90647 |
|
109 |
105 |
$0.00 |
| 90656 |
|
285 |
284 |
$0.00 |
| 36416 |
|
15 |
14 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90700 |
|
226 |
224 |
$0.00 |
| 90661 |
|
71 |
71 |
$0.00 |
| 90707 |
|
55 |
54 |
$0.00 |