| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,323 |
22,182 |
$886K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,324 |
12,304 |
$618K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16,745 |
15,425 |
$226K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,354 |
7,898 |
$224K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,209 |
2,162 |
$183K |
| 99091 |
|
996 |
879 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,875 |
1,831 |
$144K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,655 |
4,405 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,019 |
997 |
$87K |
| 99050 |
|
3,960 |
3,635 |
$53K |
| 99429 |
|
1,627 |
1,579 |
$52K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,899 |
3,186 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
489 |
469 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
687 |
681 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
480 |
451 |
$36K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,900 |
2,810 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
509 |
500 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,505 |
2,431 |
$20K |
| 94060 |
|
446 |
422 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
175 |
175 |
$13K |
| 90461 |
|
2,532 |
2,037 |
$13K |
| 0001A |
|
169 |
163 |
$6K |
| 81003 |
|
2,881 |
2,702 |
$5K |
| 69210 |
|
147 |
146 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
66 |
$5K |
| 0002A |
|
119 |
116 |
$4K |
| 96161 |
|
1,171 |
1,135 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
430 |
402 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
169 |
164 |
$2K |
| 84703 |
|
323 |
302 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,567 |
2,449 |
$1K |
| 87807 |
|
91 |
87 |
$957.00 |
| 93923 |
|
14 |
12 |
$951.70 |
| 90656 |
|
301 |
301 |
$928.37 |
| 90650 |
|
12 |
12 |
$916.23 |
| 93000 |
|
87 |
84 |
$898.24 |
| 90658 |
|
544 |
534 |
$824.67 |
| 90734 |
|
215 |
206 |
$779.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$663.68 |
| 82962 |
|
729 |
574 |
$563.50 |
| 90661 |
|
132 |
132 |
$495.92 |
| 94761 |
|
257 |
243 |
$166.00 |
| 0071A |
|
58 |
58 |
$160.00 |
| 90715 |
|
236 |
229 |
$122.60 |
| 90710 |
|
420 |
406 |
$85.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
433 |
403 |
$68.14 |
| 90473 |
|
16 |
16 |
$47.04 |
| 90688 |
|
368 |
363 |
$47.02 |
| 90633 |
|
650 |
636 |
$35.95 |
| 91300 |
|
335 |
311 |
$34.30 |
| 90651 |
|
303 |
296 |
$24.45 |
| 90686 |
|
110 |
110 |
$23.00 |
| 90670 |
|
769 |
750 |
$17.02 |
| 4025F |
|
74 |
71 |
$12.25 |
| 90696 |
|
132 |
130 |
$9.10 |
| 90713 |
|
82 |
82 |
$8.05 |
| 90723 |
|
132 |
130 |
$6.60 |
| 90700 |
|
169 |
166 |
$6.30 |
| 90648 |
|
139 |
136 |
$5.66 |
| 99173 |
|
2,521 |
2,464 |
$3.50 |
| 90707 |
|
12 |
12 |
$3.50 |
| 91307 |
|
99 |
97 |
$1.05 |
| 90698 |
|
58 |
56 |
$0.35 |
| 90685 |
|
26 |
26 |
$0.35 |
| 90680 |
|
92 |
91 |
$0.01 |
| 90647 |
|
54 |
52 |
$0.00 |
| 90744 |
|
90 |
89 |
$0.00 |
| 90657 |
|
32 |
32 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |
| 90621 |
|
15 |
15 |
$0.00 |
| 90687 |
|
23 |
23 |
$0.00 |
| 99051 |
|
37 |
34 |
$0.00 |