| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,514 |
15,786 |
$711K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,657 |
3,188 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,041 |
868 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,058 |
948 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
645 |
537 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
473 |
389 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,658 |
1,724 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,658 |
1,397 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,784 |
2,322 |
$20K |
| 92552 |
|
1,834 |
1,613 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,852 |
1,594 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,669 |
2,298 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,204 |
942 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
231 |
$7K |
| 90670 |
|
561 |
482 |
$5K |
| 95117 |
|
400 |
166 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
274 |
224 |
$2K |
| 87807 |
|
467 |
333 |
$2K |
| 81002 |
|
822 |
700 |
$1K |
| 90620 |
|
193 |
187 |
$535.50 |
| 90633 |
|
331 |
287 |
$487.10 |
| 99401 |
|
32 |
25 |
$434.46 |
| 92587 |
|
30 |
30 |
$365.57 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
463 |
336 |
$365.24 |
| 90677 |
|
61 |
55 |
$356.69 |
| 90651 |
|
268 |
207 |
$333.63 |
| 90648 |
|
432 |
416 |
$241.56 |
| 81025 |
|
85 |
64 |
$189.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
16 |
$184.75 |
| 90461 |
|
180 |
153 |
$156.00 |
| 90686 |
|
65 |
59 |
$53.70 |
| 90723 |
|
204 |
198 |
$40.00 |
| 85018 |
|
47 |
39 |
$33.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
50 |
48 |
$14.82 |
| 1036F |
|
84 |
51 |
$0.00 |
| 99000 |
|
429 |
398 |
$0.00 |
| 3008F |
|
1,984 |
1,263 |
$0.00 |
| 3079F |
|
210 |
121 |
$0.00 |
| 3075F |
|
30 |
27 |
$0.00 |
| 3074F |
|
656 |
414 |
$0.00 |
| 99172 |
|
17 |
17 |
$0.00 |
| 90680 |
|
41 |
27 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 96127 |
|
39 |
31 |
$0.00 |
| 90697 |
|
35 |
14 |
$0.00 |
| 90710 |
|
84 |
56 |
$0.00 |
| 3078F |
|
643 |
344 |
$0.00 |
| 99173 |
|
621 |
508 |
$0.00 |
| 1159F |
|
1,333 |
599 |
$0.00 |
| 1160F |
|
1,315 |
593 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
117 |
84 |
$0.00 |
| 3725F |
|
89 |
64 |
$0.00 |
| 90715 |
|
45 |
16 |
$0.00 |
| 90734 |
|
105 |
63 |
$0.00 |
| 90658 |
|
22 |
22 |
$0.00 |