| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,378 |
13,836 |
$586K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,529 |
7,713 |
$411K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,806 |
2,584 |
$143K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,512 |
1,491 |
$123K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,371 |
1,356 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,085 |
1,032 |
$88K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,898 |
5,524 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
936 |
922 |
$72K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,324 |
4,938 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,194 |
1,092 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,367 |
2,314 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,687 |
1,638 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,488 |
1,299 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
213 |
210 |
$13K |
| 87807 |
|
884 |
820 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
923 |
764 |
$7K |
| 99000 |
|
376 |
371 |
$4K |
| 90474 |
|
383 |
382 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
530 |
509 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,205 |
1,081 |
$2K |
| 96160 |
|
887 |
878 |
$2K |
| 92552 |
|
117 |
117 |
$742.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
40 |
$549.92 |
| 97169 |
|
14 |
14 |
$540.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
47 |
$71.36 |
| 81003 |
|
13 |
13 |
$22.68 |
| 90677 |
|
205 |
202 |
$0.21 |
| 90686 |
|
228 |
227 |
$0.07 |
| 90651 |
|
41 |
41 |
$0.04 |
| 90710 |
|
210 |
207 |
$0.00 |
| 90633 |
|
207 |
207 |
$0.00 |
| 90670 |
|
624 |
612 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
81 |
79 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 90620 |
|
24 |
24 |
$0.00 |
| 90698 |
|
290 |
288 |
$0.00 |
| 90680 |
|
386 |
384 |
$0.00 |
| 90696 |
|
41 |
40 |
$0.00 |
| 90619 |
|
46 |
45 |
$0.00 |
| 90697 |
|
47 |
46 |
$0.00 |