| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,366 |
5,866 |
$302K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,978 |
6,629 |
$274K |
| 99444 |
|
1,011 |
264 |
$56K |
| 99423 |
|
755 |
238 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
377 |
341 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,559 |
750 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
216 |
211 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
425 |
411 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,097 |
1,982 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
156 |
153 |
$12K |
| 99000 |
|
1,496 |
1,296 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
126 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
766 |
739 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,137 |
1,106 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
628 |
544 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,086 |
592 |
$8K |
| 87800 |
|
203 |
194 |
$7K |
| 81003 |
|
2,567 |
2,041 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
359 |
323 |
$3K |
| 82044 |
|
324 |
308 |
$2K |
| 82570 |
|
385 |
362 |
$1K |
| 81025 |
|
163 |
156 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$790.70 |
| 86703 |
|
12 |
12 |
$138.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
95 |
88 |
$129.18 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
12 |
$122.10 |
| 90474 |
|
12 |
12 |
$94.08 |
| 99050 |
|
17 |
16 |
$89.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
25 |
$3.29 |
| 96160 |
|
13 |
13 |
$2.25 |
| 90647 |
|
83 |
82 |
$0.00 |
| 90723 |
|
80 |
78 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
79 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 90670 |
|
149 |
144 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |