| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,419 |
6,478 |
$667K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,360 |
5,555 |
$418K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,737 |
3,484 |
$78K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,810 |
1,650 |
$75K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,236 |
3,937 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
647 |
605 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
514 |
489 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
462 |
423 |
$26K |
| 87807 |
|
1,099 |
1,040 |
$12K |
| 92551 |
|
1,710 |
1,627 |
$7K |
| 99173 |
|
1,764 |
1,652 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,377 |
3,103 |
$6K |
| 81002 |
|
2,115 |
1,978 |
$6K |
| 90658 |
|
269 |
257 |
$5K |
| 90670 |
|
215 |
210 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
44 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
86 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
48 |
$3K |
| 90651 |
|
145 |
140 |
$3K |
| 90633 |
|
105 |
99 |
$2K |
| 0071A |
|
44 |
42 |
$2K |
| 0001A |
|
79 |
73 |
$1K |
| 0002A |
|
31 |
31 |
$880.00 |
| 90649 |
|
43 |
43 |
$831.18 |
| 0072A |
|
18 |
16 |
$640.00 |
| 90734 |
|
27 |
26 |
$474.96 |
| 0011A |
|
23 |
23 |
$305.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
40 |
$260.00 |
| 90744 |
|
20 |
13 |
$217.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
421 |
392 |
$85.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$7.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
493 |
280 |
$0.00 |