| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,983 |
19,966 |
$1.05M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,747 |
5,661 |
$677K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,667 |
8,057 |
$369K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,950 |
8,284 |
$296K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
888 |
513 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,964 |
1,945 |
$157K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,952 |
1,905 |
$150K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,794 |
1,774 |
$149K |
| 95115 |
|
24,007 |
6,268 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,730 |
1,687 |
$129K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,949 |
3,805 |
$114K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,026 |
1,016 |
$108K |
| 87428 |
|
1,398 |
1,355 |
$101K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,130 |
2,957 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,102 |
1,080 |
$81K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,465 |
3,177 |
$80K |
| 96900 |
|
4,615 |
1,386 |
$72K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,898 |
4,682 |
$67K |
| 95117 |
|
7,465 |
2,291 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
772 |
764 |
$60K |
| 87581 |
|
1,517 |
1,451 |
$44K |
| 87807 |
|
3,368 |
3,147 |
$36K |
| 87634 |
|
679 |
596 |
$33K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,178 |
1,097 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,010 |
1,497 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,037 |
1,930 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
385 |
378 |
$9K |
| 90461 |
|
3,632 |
1,881 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
150 |
148 |
$8K |
| 92567 |
|
524 |
514 |
$7K |
| 17110 |
|
71 |
65 |
$6K |
| 94060 |
|
183 |
180 |
$6K |
| 99051 |
|
1,251 |
695 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
88 |
$5K |
| 96160 |
|
2,018 |
1,995 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
322 |
317 |
$3K |
| 81002 |
|
1,112 |
1,023 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
207 |
$3K |
| 99215 |
Prolong outpt/office vis |
17 |
15 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 99242 |
|
18 |
18 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
85 |
77 |
$523.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$460.32 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
14 |
$274.40 |
| 90686 |
|
603 |
596 |
$37.11 |
| 90651 |
|
401 |
394 |
$0.07 |
| 90620 |
|
41 |
39 |
$0.06 |
| 90734 |
|
421 |
417 |
$0.05 |
| 90656 |
|
27 |
27 |
$0.02 |
| 90677 |
|
227 |
224 |
$0.02 |
| 90680 |
|
428 |
425 |
$0.00 |
| 90716 |
|
195 |
190 |
$0.00 |
| 90697 |
|
52 |
52 |
$0.00 |
| 90723 |
|
112 |
111 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90648 |
|
241 |
235 |
$0.00 |
| 90670 |
|
818 |
807 |
$0.00 |
| 90633 |
|
404 |
398 |
$0.00 |
| 90715 |
|
125 |
123 |
$0.00 |
| 90700 |
|
54 |
54 |
$0.00 |
| 90710 |
|
116 |
115 |
$0.00 |
| 90707 |
|
173 |
167 |
$0.00 |