| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,187 |
19,772 |
$1.73M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,129 |
13,453 |
$1.20M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,686 |
1,407 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
694 |
609 |
$51K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
334 |
317 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
221 |
214 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
140 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,280 |
2,113 |
$2K |
| 99381 |
|
61 |
55 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
17 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,395 |
2,954 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,414 |
1,068 |
$1K |
| 87428 |
|
735 |
626 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,763 |
5,105 |
$804.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,035 |
3,575 |
$700.35 |
| 87430 |
|
1,517 |
1,283 |
$504.59 |
| 86328 |
|
74 |
73 |
$270.20 |
| 99173 |
|
574 |
506 |
$232.28 |
| 36415 |
Collection of venous blood by venipuncture |
1,630 |
1,415 |
$91.58 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,736 |
2,344 |
$55.44 |
| 85018 |
|
494 |
451 |
$29.16 |
| 81025 |
|
74 |
68 |
$6.98 |
| 81002 |
|
299 |
250 |
$5.92 |
| 90671 |
|
280 |
199 |
$0.65 |
| 90633 |
|
722 |
630 |
$0.51 |
| 90710 |
|
573 |
509 |
$0.50 |
| 90677 |
|
121 |
118 |
$0.47 |
| 90696 |
|
106 |
94 |
$0.09 |
| 90680 |
|
703 |
660 |
$0.03 |
| 90698 |
|
16 |
15 |
$0.02 |
| 96161 |
|
833 |
657 |
$0.00 |
| 90697 |
|
378 |
283 |
$0.00 |
| 90723 |
|
681 |
663 |
$0.00 |
| 90651 |
|
89 |
82 |
$0.00 |
| 92551 |
|
88 |
84 |
$0.00 |
| 90688 |
|
297 |
288 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
16 |
$0.00 |
| 90648 |
|
1,174 |
1,133 |
$0.00 |
| 90670 |
|
1,692 |
1,564 |
$0.00 |
| 99401 |
|
186 |
170 |
$0.00 |
| 90681 |
|
351 |
276 |
$0.00 |
| 90700 |
|
40 |
40 |
$0.00 |
| 90715 |
|
170 |
151 |
$0.00 |
| 90734 |
|
86 |
75 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
13 |
$0.00 |
| 90687 |
|
20 |
14 |
$0.00 |