| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,251 |
10,694 |
$678K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,884 |
3,759 |
$326K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,689 |
2,677 |
$241K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,997 |
5,928 |
$237K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,198 |
1,196 |
$109K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,901 |
1,843 |
$59K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,309 |
1,274 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
437 |
435 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
564 |
542 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,015 |
1,012 |
$32K |
| 99460 |
|
413 |
395 |
$28K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
409 |
384 |
$23K |
| 87807 |
|
1,091 |
1,042 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
279 |
276 |
$4K |
| 86328 |
|
84 |
83 |
$4K |
| 99173 |
|
1,114 |
1,111 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
144 |
136 |
$2K |
| 99188 |
|
188 |
188 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
105 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 99234 |
|
12 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
98 |
91 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$1K |
| 83655 |
|
76 |
76 |
$1K |
| 96127 |
|
150 |
149 |
$718.18 |
| 85018 |
|
186 |
185 |
$493.49 |
| 92567 |
|
30 |
30 |
$371.46 |
| 93000 |
|
15 |
15 |
$269.14 |
| 96161 |
|
78 |
78 |
$234.67 |
| 90677 |
|
13 |
13 |
$149.50 |
| 81002 |
|
12 |
12 |
$36.96 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$34.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
14 |
$13.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
53 |
52 |
$6.22 |