| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,132 |
1,968 |
$57K |
| S8301 |
Infection control supplies, not otherwise specified |
1,791 |
1,655 |
$44K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
964 |
922 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
224 |
223 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
936 |
893 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
146 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
98 |
$6K |
| 87809 |
|
479 |
460 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
602 |
291 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
689 |
287 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
342 |
331 |
$2K |
| 99429 |
|
57 |
57 |
$1K |
| 90461 |
|
135 |
107 |
$847.68 |
| 87807 |
|
76 |
76 |
$715.00 |
| 81002 |
|
240 |
231 |
$584.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
54 |
$535.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
120 |
90 |
$519.95 |
| 99000 |
|
66 |
65 |
$385.27 |
| 96161 |
|
20 |
18 |
$33.22 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
40 |
36 |
$21.91 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
108 |
107 |
$20.80 |
| 97802 |
|
108 |
107 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
107 |
106 |
$0.00 |
| 99406 |
|
76 |
68 |
$0.00 |
| 90686 |
|
52 |
51 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |