| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,577 |
14,031 |
$1.16M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,437 |
2,437 |
$154K |
| 99442 |
|
1,789 |
1,491 |
$140K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,000 |
1,937 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
523 |
523 |
$53K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,380 |
1,330 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,766 |
2,755 |
$49K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
486 |
485 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
437 |
437 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,635 |
2,559 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,103 |
1,100 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,273 |
2,085 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
322 |
321 |
$29K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
263 |
263 |
$22K |
| 99406 |
|
1,690 |
1,532 |
$22K |
| 99384 |
|
108 |
108 |
$13K |
| 99383 |
|
92 |
92 |
$10K |
| 99051 |
|
1,410 |
1,313 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
76 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
52 |
$5K |
| 90688 |
|
367 |
367 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
914 |
809 |
$2K |
| 90686 |
|
78 |
78 |
$1K |
| 99050 |
|
12 |
12 |
$207.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$182.16 |
| 96160 |
|
3,781 |
3,776 |
$0.00 |
| 90734 |
|
102 |
102 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90715 |
|
61 |
61 |
$0.00 |
| 90633 |
|
18 |
18 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90710 |
|
21 |
21 |
$0.00 |
| 90651 |
|
144 |
144 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90620 |
|
21 |
21 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |