| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,817 |
14,694 |
$547K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,247 |
2,654 |
$92K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,745 |
1,434 |
$53K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,581 |
2,451 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
453 |
379 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,974 |
1,222 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
342 |
283 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,047 |
890 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,362 |
1,168 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
161 |
145 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
400 |
332 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
621 |
522 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
512 |
419 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
42 |
$4K |
| 99173 |
|
812 |
683 |
$4K |
| 96127 |
|
1,009 |
850 |
$3K |
| 92551 |
|
564 |
475 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
371 |
290 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
407 |
320 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
66 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,020 |
816 |
$1K |
| 85018 |
|
661 |
559 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
17 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$1K |
| 82962 |
|
547 |
449 |
$764.74 |
| 90670 |
|
160 |
139 |
$752.79 |
| 81002 |
|
419 |
341 |
$681.31 |
| 90674 |
|
47 |
40 |
$531.92 |
| 87807 |
|
56 |
44 |
$450.12 |
| 90686 |
|
61 |
52 |
$421.76 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
87 |
76 |
$392.84 |
| 1160F |
|
2,036 |
1,606 |
$270.00 |
| 90688 |
|
44 |
39 |
$216.63 |
| 1125F |
|
1,553 |
1,214 |
$210.00 |
| 85014 |
|
102 |
91 |
$208.13 |
| 96161 |
|
31 |
25 |
$180.82 |
| 90698 |
|
79 |
68 |
$127.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
211 |
162 |
$104.18 |
| 3008F |
|
79 |
71 |
$70.00 |
| 96160 |
|
82 |
59 |
$62.39 |
| 3078F |
|
274 |
223 |
$60.00 |
| 3074F |
|
239 |
197 |
$60.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
84 |
60 |
$56.81 |
| 3077F |
|
146 |
127 |
$40.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$31.77 |
| 3080F |
|
58 |
55 |
$30.00 |
| 3075F |
|
51 |
42 |
$30.00 |
| 3079F |
|
71 |
57 |
$20.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
41 |
40 |
$0.43 |
| 99072 |
|
85 |
70 |
$0.00 |
| 90461 |
|
16 |
12 |
$0.00 |
| 90734 |
|
16 |
13 |
$0.00 |
| 99000 |
|
41 |
40 |
$0.00 |
| 90744 |
|
32 |
26 |
$0.00 |