| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,158 |
4,970 |
$369K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,758 |
4,137 |
$282K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
521 |
510 |
$189K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
353 |
352 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,104 |
1,045 |
$39K |
| 92551 |
|
1,466 |
1,450 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
116 |
116 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
519 |
472 |
$12K |
| 99173 |
|
1,459 |
1,448 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
66 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
49 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
66 |
$5K |
| 90715 |
|
103 |
102 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
197 |
163 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
55 |
55 |
$4K |
| 81003 |
|
2,519 |
2,299 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$3K |
| G9920 |
Screening performed and negative |
78 |
78 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
349 |
345 |
$2K |
| 96127 |
|
279 |
276 |
$2K |
| 87400 |
|
245 |
121 |
$1K |
| 87428 |
|
21 |
21 |
$1K |
| 81025 |
|
441 |
414 |
$1K |
| 90674 |
|
26 |
26 |
$880.02 |
| 85018 |
|
492 |
482 |
$816.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
82 |
75 |
$538.03 |
| 93000 |
|
12 |
12 |
$413.28 |
| 90661 |
|
13 |
13 |
$411.79 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
38 |
37 |
$300.39 |
| 90651 |
|
14 |
13 |
$151.20 |
| 81002 |
|
44 |
43 |
$75.68 |
| 82948 |
|
13 |
13 |
$29.29 |
| 3725F |
|
220 |
219 |
$0.00 |
| 3077F |
|
85 |
80 |
$0.00 |
| 3078F |
|
437 |
411 |
$0.00 |
| 3079F |
|
102 |
99 |
$0.00 |
| 3080F |
|
44 |
41 |
$0.00 |
| 3074F |
|
470 |
436 |
$0.00 |
| 3075F |
|
37 |
35 |
$0.00 |