| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,082 |
17,073 |
$699K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,167 |
3,830 |
$320K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,810 |
2,788 |
$218K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,901 |
3,698 |
$200K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,140 |
6,221 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,800 |
1,774 |
$147K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,117 |
2,984 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
712 |
702 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,463 |
4,315 |
$61K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,375 |
1,345 |
$59K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,998 |
1,754 |
$48K |
| 99460 |
|
555 |
548 |
$44K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
715 |
705 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,010 |
2,253 |
$25K |
| 99462 |
|
460 |
381 |
$18K |
| 90461 |
|
2,667 |
2,241 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,362 |
1,226 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
415 |
385 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
455 |
384 |
$5K |
| 87807 |
|
402 |
396 |
$4K |
| 96160 |
|
666 |
631 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$937.50 |
| 99001 |
|
354 |
350 |
$725.76 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
142 |
114 |
$204.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
14 |
$9.72 |
| 90681 |
|
1,183 |
1,172 |
$0.10 |
| 90670 |
|
2,334 |
2,303 |
$0.10 |
| 90648 |
|
2,881 |
2,837 |
$0.10 |
| 90723 |
|
2,347 |
2,321 |
$0.10 |
| 90677 |
|
544 |
537 |
$0.10 |
| 90633 |
|
790 |
779 |
$0.00 |
| 90700 |
|
124 |
123 |
$0.00 |
| 90734 |
|
219 |
209 |
$0.00 |
| 90707 |
|
85 |
82 |
$0.00 |
| 90715 |
|
140 |
130 |
$0.00 |
| 90710 |
|
57 |
49 |
$0.00 |
| 99072 |
|
75 |
73 |
$0.00 |
| 90716 |
|
57 |
56 |
$0.00 |
| 90686 |
|
1,272 |
1,260 |
$0.00 |
| 90651 |
|
241 |
222 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |