| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,290 |
18,215 |
$732K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,960 |
9,924 |
$320K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,595 |
3,589 |
$228K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,848 |
2,729 |
$171K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,649 |
2,648 |
$164K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,583 |
1,580 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,100 |
1,100 |
$76K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,380 |
1,292 |
$35K |
| G9007 |
Coordinated care fee, scheduled team conference |
182 |
181 |
$18K |
| 99402 |
|
473 |
472 |
$18K |
| 87430 |
|
2,636 |
2,576 |
$14K |
| 97802 |
|
2,282 |
2,281 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
476 |
467 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,111 |
1,110 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,564 |
2,508 |
$10K |
| 87807 |
|
270 |
266 |
$3K |
| 90677 |
|
91 |
91 |
$2K |
| 90620 |
|
25 |
25 |
$2K |
| 83655 |
|
111 |
111 |
$1K |
| 96127 |
|
334 |
334 |
$1K |
| 90688 |
|
1,224 |
1,217 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
26 |
$864.67 |
| 90686 |
|
347 |
347 |
$331.03 |
| 99441 |
|
36 |
36 |
$225.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$151.60 |
| 85018 |
|
73 |
73 |
$93.81 |
| 90656 |
|
63 |
63 |
$65.10 |
| 90685 |
|
151 |
149 |
$61.02 |
| 90715 |
|
26 |
26 |
$52.13 |
| 81002 |
|
26 |
26 |
$29.58 |
| 90700 |
|
1,781 |
1,781 |
$25.00 |
| 90633 |
|
140 |
140 |
$24.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$16.80 |
| 90716 |
|
114 |
114 |
$0.00 |
| 90680 |
|
92 |
92 |
$0.00 |
| 36416 |
|
67 |
66 |
$0.00 |
| 99000 |
|
45 |
44 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90713 |
|
916 |
916 |
$0.00 |
| 90648 |
|
857 |
857 |
$0.00 |
| 90670 |
|
698 |
698 |
$0.00 |
| 90707 |
|
85 |
85 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |