| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,187 |
48,218 |
$3.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,892 |
16,081 |
$1.52M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,888 |
1,885 |
$178K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
455 |
455 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,624 |
3,611 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
530 |
530 |
$54K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,082 |
1,058 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
433 |
433 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,648 |
1,626 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
734 |
732 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
194 |
194 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
218 |
216 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
722 |
707 |
$17K |
| 90756 |
|
591 |
591 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
147 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
777 |
734 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,151 |
3,090 |
$10K |
| 80305 |
|
498 |
486 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
32 |
$3K |
| 81025 |
|
300 |
300 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 90661 |
|
45 |
45 |
$2K |
| 99385 |
|
12 |
12 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
68 |
68 |
$881.51 |
| 96127 |
|
109 |
108 |
$685.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$251.47 |
| 82962 |
|
79 |
75 |
$231.40 |
| 99441 |
|
13 |
13 |
$208.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
86 |
86 |
$77.97 |
| 81002 |
|
14 |
14 |
$43.40 |
| 96160 |
|
11,443 |
11,417 |
$1.02 |
| 90686 |
|
349 |
349 |
$0.00 |
| 90651 |
|
144 |
144 |
$0.00 |
| 90620 |
|
24 |
24 |
$0.00 |
| 90674 |
|
295 |
295 |
$0.00 |
| 90734 |
|
135 |
134 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |