| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
572 |
513 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
998 |
765 |
$26K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
206 |
154 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
333 |
293 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
215 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
191 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
298 |
199 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,226 |
387 |
$7K |
| 99429 |
|
248 |
170 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
289 |
203 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
342 |
290 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
111 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
581 |
320 |
$3K |
| 97804 |
|
774 |
573 |
$3K |
| 99000 |
|
308 |
253 |
$3K |
| 90461 |
|
407 |
233 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
149 |
135 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
16 |
$482.39 |
| 96160 |
|
287 |
213 |
$354.00 |
| 81003 |
|
130 |
104 |
$262.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
15 |
$250.61 |
| 99050 |
|
20 |
16 |
$144.60 |
| 90734 |
|
47 |
37 |
$10.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
12 |
$6.36 |
| 90670 |
|
39 |
27 |
$5.35 |
| 90633 |
|
21 |
19 |
$2.00 |
| 90658 |
|
72 |
51 |
$2.00 |
| 90647 |
|
16 |
13 |
$0.70 |