| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,060 |
22,213 |
$1.05M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,554 |
6,037 |
$273K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,559 |
2,510 |
$210K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,368 |
2,277 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,539 |
2,453 |
$193K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,131 |
5,901 |
$147K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,316 |
5,293 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,541 |
1,466 |
$114K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,270 |
3,829 |
$109K |
| 99429 |
|
2,249 |
2,183 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,070 |
4,745 |
$67K |
| 92557 |
|
2,214 |
2,168 |
$67K |
| S8301 |
Infection control supplies, not otherwise specified |
3,528 |
3,284 |
$63K |
| 99000 |
|
4,382 |
4,084 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,859 |
5,233 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,229 |
1,562 |
$17K |
| 92567 |
|
1,412 |
1,313 |
$17K |
| 87807 |
|
1,414 |
1,255 |
$15K |
| 90461 |
|
2,831 |
2,361 |
$13K |
| 99051 |
|
2,188 |
1,947 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
796 |
690 |
$8K |
| CP002 |
|
756 |
599 |
$7K |
| 99050 |
|
381 |
341 |
$5K |
| 96160 |
|
2,615 |
2,549 |
$5K |
| 0071A |
|
93 |
93 |
$4K |
| 0072A |
|
89 |
89 |
$4K |
| 36410 |
|
259 |
248 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
251 |
220 |
$3K |
| 97169 |
|
82 |
82 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$1K |
| 81002 |
|
447 |
399 |
$1K |
| 86580 |
|
164 |
164 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$924.00 |
| 36406 |
|
58 |
57 |
$732.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
225 |
205 |
$403.26 |
| 90677 |
|
195 |
173 |
$5.29 |
| 90686 |
|
1,857 |
1,824 |
$0.42 |
| 90619 |
|
70 |
69 |
$0.15 |
| 90651 |
|
183 |
182 |
$0.11 |
| 90621 |
|
244 |
242 |
$0.03 |
| 90680 |
|
429 |
416 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
388 |
386 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
636 |
633 |
$0.00 |
| 90697 |
|
161 |
149 |
$0.00 |
| 90723 |
|
51 |
51 |
$0.00 |
| 91307 |
|
214 |
175 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90670 |
|
967 |
959 |
$0.00 |
| 99173 |
|
1,129 |
1,113 |
$0.00 |
| 90648 |
|
300 |
298 |
$0.00 |
| 90710 |
|
175 |
169 |
$0.00 |
| 90734 |
|
109 |
108 |
$0.00 |
| 90633 |
|
201 |
200 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |