| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,798 |
33,585 |
$1.98M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,194 |
22,148 |
$1.41M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,525 |
8,802 |
$892K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,250 |
8,413 |
$838K |
| 90461 |
|
8,060 |
7,183 |
$290K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,657 |
2,417 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,061 |
1,845 |
$141K |
| 99174 |
|
3,790 |
3,425 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
805 |
707 |
$78K |
| 59025 |
Fetal non-stress test |
978 |
716 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
557 |
512 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,557 |
705 |
$11K |
| 99243 |
|
68 |
68 |
$8K |
| 99188 |
|
734 |
621 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
796 |
740 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
836 |
760 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
46 |
43 |
$3K |
| 96161 |
|
618 |
518 |
$2K |
| 90686 |
|
5,798 |
4,110 |
$2K |
| 90474 |
|
200 |
146 |
$1K |
| 96127 |
|
322 |
201 |
$1K |
| 99383 |
|
13 |
12 |
$1K |
| 99242 |
|
15 |
15 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
52 |
32 |
$748.45 |
| 87807 |
|
41 |
41 |
$327.20 |
| 92551 |
|
27 |
26 |
$232.25 |
| 90670 |
|
5,969 |
4,956 |
$226.43 |
| 90633 |
|
979 |
885 |
$67.69 |
| 81002 |
|
25 |
24 |
$35.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$10.30 |
| 90671 |
|
395 |
376 |
$0.38 |
| 90680 |
|
2,687 |
2,273 |
$0.00 |
| 90698 |
|
4,943 |
4,229 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90744 |
|
1,120 |
1,000 |
$0.00 |
| 90656 |
|
297 |
291 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90651 |
|
273 |
246 |
$0.00 |
| 90647 |
|
80 |
63 |
$0.00 |
| 91307 |
|
62 |
15 |
$0.00 |
| 90688 |
|
77 |
40 |
$0.00 |
| 90723 |
|
44 |
38 |
$0.00 |
| 90710 |
|
815 |
699 |
$0.00 |
| 90685 |
|
2,052 |
1,853 |
$0.00 |
| 90734 |
|
129 |
113 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |