| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,859 |
21,929 |
$1.06M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,081 |
2,814 |
$184K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,601 |
2,462 |
$180K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,769 |
1,681 |
$123K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,675 |
2,700 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
876 |
840 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,872 |
3,614 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
485 |
454 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,050 |
939 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,154 |
1,951 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,094 |
1,057 |
$15K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
649 |
600 |
$9K |
| 90633 |
|
328 |
314 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
247 |
231 |
$7K |
| 86756 |
|
423 |
391 |
$6K |
| 83655 |
|
274 |
261 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
85 |
83 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,130 |
1,089 |
$3K |
| 90688 |
|
170 |
165 |
$2K |
| 99460 |
|
41 |
41 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
164 |
153 |
$2K |
| 90685 |
|
118 |
111 |
$2K |
| 99462 |
|
51 |
27 |
$1K |
| 86308 |
|
101 |
90 |
$490.09 |
| 81002 |
|
312 |
295 |
$344.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
26 |
$307.45 |
| 94760 |
|
197 |
182 |
$57.52 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
17 |
15 |
$53.96 |