| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,881 |
32,853 |
$1.78M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,557 |
7,195 |
$467K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,228 |
6,059 |
$437K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,819 |
12,236 |
$362K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,070 |
1,903 |
$255K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,508 |
15,582 |
$230K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,895 |
10,408 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,256 |
2,210 |
$157K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,548 |
17,657 |
$142K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,245 |
6,650 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
901 |
874 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,480 |
1,337 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
606 |
578 |
$31K |
| 90474 |
|
3,506 |
3,242 |
$30K |
| 92551 |
|
3,320 |
3,248 |
$27K |
| 99460 |
|
496 |
481 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
230 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,535 |
1,476 |
$15K |
| 87807 |
|
1,151 |
1,059 |
$14K |
| 99173 |
|
3,308 |
3,227 |
$6K |
| 86308 |
|
926 |
832 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
45 |
38 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
247 |
221 |
$3K |
| 99462 |
|
104 |
91 |
$3K |
| 81003 |
|
574 |
539 |
$1K |
| 0072A |
|
15 |
15 |
$613.23 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$19.93 |
| 90647 |
|
3,800 |
3,569 |
$16.52 |
| 90670 |
|
4,488 |
4,247 |
$0.00 |
| 90633 |
|
1,583 |
1,526 |
$0.00 |
| 90700 |
|
329 |
319 |
$0.00 |
| 90707 |
|
479 |
452 |
$0.00 |
| 90671 |
|
288 |
197 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90681 |
|
63 |
61 |
$0.00 |
| 90685 |
|
27 |
26 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90680 |
|
3,261 |
2,951 |
$0.00 |
| 90723 |
|
3,936 |
3,645 |
$0.00 |
| 90686 |
|
3,616 |
3,350 |
$0.00 |
| 90620 |
|
24 |
24 |
$0.00 |
| 90656 |
|
211 |
190 |
$0.00 |
| 90677 |
|
989 |
924 |
$0.00 |
| 90716 |
|
421 |
399 |
$0.00 |
| 90651 |
|
75 |
61 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 91307 |
|
45 |
32 |
$0.00 |