| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,664 |
46,319 |
$1.89M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,821 |
4,701 |
$123K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,524 |
6,963 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,198 |
1,105 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,103 |
3,970 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
881 |
849 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
988 |
935 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,616 |
1,448 |
$47K |
| 90461 |
|
2,653 |
2,578 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,466 |
5,100 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
589 |
577 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,052 |
1,660 |
$31K |
| 99173 |
|
568 |
559 |
$12K |
| 92587 |
|
383 |
380 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
161 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
381 |
317 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$3K |
| V5008 |
Hearing screening |
333 |
329 |
$2K |
| 99381 |
|
33 |
31 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
232 |
200 |
$2K |
| 87807 |
|
204 |
181 |
$2K |
| 99177 |
|
438 |
434 |
$1K |
| 96127 |
|
291 |
288 |
$837.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
55 |
$695.07 |
| 81000 |
|
395 |
367 |
$460.40 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
19 |
12 |
$457.24 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$157.74 |
| 90658 |
|
52 |
46 |
$139.90 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
43 |
41 |
$77.73 |
| 81025 |
|
13 |
12 |
$73.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
305 |
290 |
$57.78 |
| 90688 |
|
15 |
15 |
$31.80 |
| 81002 |
|
21 |
18 |
$10.44 |
| 91300 |
|
18 |
16 |
$10.00 |
| 87428 |
|
980 |
940 |
$1.01 |
| 90677 |
|
85 |
85 |
$0.00 |
| 90647 |
|
272 |
269 |
$0.00 |
| 90723 |
|
239 |
236 |
$0.00 |
| 90697 |
|
72 |
70 |
$0.00 |
| 90680 |
|
116 |
103 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90670 |
|
692 |
666 |
$0.00 |
| 90710 |
|
56 |
51 |
$0.00 |
| 90633 |
|
721 |
697 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90671 |
|
63 |
62 |
$0.00 |
| 90681 |
|
30 |
30 |
$0.00 |