| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,082 |
6,039 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,725 |
2,378 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,349 |
1,257 |
$110K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,067 |
2,648 |
$108K |
| 87428 |
|
1,452 |
1,323 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,255 |
1,184 |
$95K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,387 |
2,827 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,678 |
4,129 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
787 |
750 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,233 |
2,760 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
274 |
272 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
206 |
195 |
$14K |
| 90461 |
|
2,344 |
892 |
$11K |
| 87807 |
|
959 |
844 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
126 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
998 |
609 |
$8K |
| 99383 |
|
56 |
56 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
294 |
211 |
$3K |
| 99384 |
|
28 |
28 |
$3K |
| 99382 |
|
28 |
27 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
76 |
72 |
$2K |
| 81003 |
|
614 |
549 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$973.40 |
| 99381 |
|
14 |
13 |
$917.34 |
| 86318 |
|
42 |
41 |
$723.60 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
15 |
$718.62 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
45 |
43 |
$633.82 |
| 74018 |
|
29 |
27 |
$604.48 |
| 90734 |
|
500 |
475 |
$433.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
15 |
$280.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$198.66 |
| 96160 |
|
58 |
57 |
$118.91 |
| 81025 |
|
16 |
15 |
$101.22 |
| 90715 |
|
207 |
201 |
$94.80 |
| 90686 |
|
1,598 |
1,454 |
$90.80 |
| 90696 |
|
134 |
130 |
$63.00 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
44 |
42 |
$57.75 |
| 90710 |
|
253 |
249 |
$52.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
12 |
$2.48 |
| 90620 |
|
344 |
333 |
$0.21 |
| 90651 |
|
389 |
365 |
$0.13 |
| 90670 |
|
360 |
348 |
$0.02 |
| 90680 |
|
61 |
59 |
$0.01 |
| 90633 |
|
248 |
242 |
$0.01 |
| 90647 |
|
224 |
215 |
$0.00 |
| 97802 |
|
20 |
14 |
$0.00 |
| 90656 |
|
39 |
34 |
$0.00 |
| 90723 |
|
45 |
44 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 99173 |
|
2,355 |
2,232 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90707 |
|
17 |
17 |
$0.00 |
| 90649 |
|
21 |
15 |
$0.00 |