| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,496 |
6,933 |
$519K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,978 |
1,907 |
$189K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
359 |
320 |
$160K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
537 |
533 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
501 |
499 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
517 |
485 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
405 |
403 |
$44K |
| 64644 |
|
1,048 |
923 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
427 |
406 |
$34K |
| 92587 |
|
922 |
908 |
$24K |
| 95874 |
|
1,301 |
1,167 |
$19K |
| 64645 |
|
680 |
580 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,259 |
1,229 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
411 |
400 |
$16K |
| 90670 |
|
156 |
156 |
$6K |
| 90686 |
|
812 |
809 |
$6K |
| 62370 |
|
193 |
170 |
$5K |
| 90671 |
|
55 |
55 |
$5K |
| 87428 |
|
137 |
132 |
$4K |
| 90698 |
|
89 |
89 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
128 |
$3K |
| 81002 |
|
943 |
923 |
$3K |
| J0475 |
Injection, baclofen, 10 mg |
12 |
12 |
$3K |
| 90680 |
|
67 |
67 |
$2K |
| 20610 |
|
119 |
88 |
$2K |
| 90619 |
|
41 |
39 |
$2K |
| 90710 |
|
24 |
24 |
$2K |
| 64643 |
|
57 |
51 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 73610 |
|
66 |
62 |
$1K |
| 90651 |
|
12 |
12 |
$598.08 |
| 90700 |
|
26 |
26 |
$448.93 |
| 90734 |
|
12 |
12 |
$401.56 |
| 90677 |
|
12 |
12 |
$394.01 |
| 73630 |
|
13 |
12 |
$351.66 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$329.56 |
| 72040 |
|
14 |
12 |
$275.18 |
| 90715 |
|
13 |
13 |
$249.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$181.48 |
| 81025 |
|
45 |
24 |
$151.36 |
| 73564 |
|
25 |
13 |
$139.72 |