| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119,151 |
103,109 |
$5.52M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39,153 |
19,153 |
$1.06M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,039 |
11,351 |
$926K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28,746 |
22,471 |
$705K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,171 |
8,659 |
$692K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,230 |
8,744 |
$630K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,518 |
13,434 |
$447K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,811 |
7,349 |
$376K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,151 |
3,864 |
$342K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,053 |
3,511 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,608 |
3,403 |
$250K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17,440 |
16,239 |
$172K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,585 |
10,405 |
$143K |
| 99177 |
|
22,056 |
20,719 |
$141K |
| 99381 |
|
1,569 |
1,457 |
$125K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,476 |
12,705 |
$106K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,957 |
5,272 |
$97K |
| 92558 |
|
20,313 |
19,091 |
$87K |
| 85018 |
|
23,876 |
22,419 |
$50K |
| 83655 |
|
4,221 |
3,966 |
$47K |
| 81003 |
|
19,307 |
17,871 |
$35K |
| 96161 |
|
2,238 |
2,017 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,447 |
2,372 |
$31K |
| 86318 |
|
1,716 |
1,585 |
$29K |
| 90791 |
Psychiatric diagnostic evaluation |
266 |
251 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
359 |
341 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
360 |
342 |
$19K |
| 95117 |
|
1,384 |
589 |
$17K |
| 90651 |
|
1,987 |
1,848 |
$15K |
| 99383 |
|
111 |
109 |
$10K |
| 90734 |
|
1,634 |
1,510 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
551 |
503 |
$8K |
| 90620 |
|
593 |
570 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,723 |
3,345 |
$7K |
| 90716 |
|
3,065 |
2,890 |
$6K |
| 99382 |
|
62 |
59 |
$5K |
| 90670 |
|
5,236 |
4,917 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
266 |
251 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
96 |
80 |
$4K |
| 90707 |
|
3,090 |
2,884 |
$4K |
| 90677 |
|
1,078 |
1,006 |
$3K |
| 17110 |
|
29 |
27 |
$2K |
| 90723 |
|
4,796 |
4,465 |
$2K |
| 90681 |
|
2,316 |
2,158 |
$1K |
| 90686 |
|
2,889 |
2,726 |
$1K |
| 86308 |
|
346 |
333 |
$1K |
| 99460 |
|
27 |
25 |
$1K |
| 90633 |
|
3,221 |
3,024 |
$1K |
| 0072A |
|
37 |
37 |
$1K |
| 90715 |
|
775 |
700 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$911.77 |
| 90696 |
|
958 |
904 |
$900.87 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$773.12 |
| 90648 |
|
7,151 |
6,657 |
$729.39 |
| 0071A |
|
29 |
29 |
$675.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
449 |
417 |
$353.93 |
| 74018 |
|
18 |
16 |
$326.24 |
| 99462 |
|
12 |
12 |
$324.67 |
| 90700 |
|
865 |
806 |
$264.51 |
| 90671 |
|
728 |
656 |
$250.00 |
| 81002 |
|
122 |
107 |
$208.01 |
| 81025 |
|
34 |
31 |
$164.71 |
| 90685 |
|
150 |
148 |
$0.00 |
| 90661 |
|
26 |
26 |
$0.00 |
| 91300 |
|
27 |
26 |
$0.00 |
| 90621 |
|
14 |
14 |
$0.00 |
| 90687 |
|
12 |
12 |
$0.00 |
| 90697 |
|
254 |
251 |
$0.00 |
| 91307 |
|
79 |
74 |
$0.00 |
| 90688 |
|
20 |
15 |
$0.00 |