| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,941 |
19,713 |
$1.72M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,830 |
4,654 |
$538K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,952 |
3,952 |
$403K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,060 |
10,020 |
$401K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,960 |
2,901 |
$281K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,478 |
2,478 |
$252K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
443 |
443 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,083 |
560 |
$16K |
| 96127 |
|
997 |
996 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
123 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
942 |
930 |
$4K |
| 99051 |
|
209 |
206 |
$2K |
| 87807 |
|
113 |
111 |
$1K |
| 69210 |
|
32 |
32 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
49 |
49 |
$1K |
| 90480 |
|
32 |
32 |
$800.00 |
| 99177 |
|
3,575 |
3,567 |
$788.82 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
421 |
421 |
$394.32 |
| 83655 |
|
28 |
28 |
$371.98 |
| 96161 |
|
147 |
126 |
$272.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$69.00 |
| 85018 |
|
28 |
28 |
$58.24 |
| 81002 |
|
15 |
14 |
$30.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
26 |
$4.71 |
| 90619 |
|
43 |
43 |
$0.04 |
| 90686 |
|
3,059 |
3,052 |
$0.03 |
| 90677 |
|
407 |
407 |
$0.00 |
| 90698 |
|
1,123 |
1,122 |
$0.00 |
| 90744 |
|
106 |
106 |
$0.00 |
| 90680 |
|
445 |
445 |
$0.00 |
| 90697 |
|
24 |
24 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90670 |
|
1,042 |
1,042 |
$0.00 |
| 90633 |
|
80 |
80 |
$0.00 |
| 91321 |
|
16 |
16 |
$0.00 |
| 90685 |
|
90 |
90 |
$0.00 |