| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,192 |
12,186 |
$441K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,664 |
6,683 |
$311K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,781 |
1,719 |
$121K |
| 87428 |
|
2,695 |
2,449 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,129 |
3,635 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,143 |
1,114 |
$84K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,382 |
5,713 |
$70K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,225 |
3,733 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
830 |
756 |
$33K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
370 |
357 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
203 |
202 |
$17K |
| 99443 |
|
337 |
291 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,413 |
667 |
$12K |
| 87807 |
|
1,340 |
1,229 |
$12K |
| 90461 |
|
3,045 |
2,573 |
$12K |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
1,020 |
935 |
$11K |
| 81003 |
|
5,405 |
3,563 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
92 |
92 |
$8K |
| 90474 |
|
836 |
815 |
$7K |
| 99000 |
|
628 |
535 |
$6K |
| 99442 |
|
113 |
102 |
$3K |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
385 |
319 |
$3K |
| 99460 |
|
50 |
49 |
$3K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
203 |
183 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
50 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
154 |
130 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
197 |
195 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$1K |
| 81025 |
|
189 |
178 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
962 |
892 |
$896.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
31 |
$726.61 |
| 92551 |
|
131 |
123 |
$647.61 |
| 83655 |
|
48 |
47 |
$457.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$441.59 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
50 |
$385.49 |
| 99441 |
|
42 |
41 |
$343.56 |
| 92567 |
|
40 |
39 |
$333.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
27 |
$254.22 |
| 90661 |
|
13 |
13 |
$212.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
380 |
347 |
$85.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
13 |
$10.12 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
134 |
125 |
$6.52 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
25 |
25 |
$3.77 |
| 90619 |
|
57 |
57 |
$0.23 |
| 90677 |
|
15 |
15 |
$0.02 |
| 90632 |
|
12 |
12 |
$0.02 |
| 90697 |
|
156 |
144 |
$0.01 |
| 90686 |
|
362 |
349 |
$0.01 |
| 1036F |
|
10,449 |
7,996 |
$0.00 |
| 90698 |
|
947 |
936 |
$0.00 |
| 90716 |
|
278 |
272 |
$0.00 |
| 3008F |
|
11,078 |
9,276 |
$0.00 |
| 3079F |
|
836 |
672 |
$0.00 |
| 3074F |
|
6,068 |
4,567 |
$0.00 |
| 3075F |
|
78 |
64 |
$0.00 |
| 90744 |
|
368 |
362 |
$0.00 |
| 90680 |
|
844 |
822 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 1034F |
|
67 |
50 |
$0.00 |
| 90657 |
|
41 |
32 |
$0.00 |
| 90651 |
|
80 |
80 |
$0.00 |
| 90670 |
|
1,502 |
1,465 |
$0.00 |
| 1159F |
|
17,954 |
14,420 |
$0.00 |
| 1160F |
|
19,364 |
15,538 |
$0.00 |
| 3078F |
|
5,473 |
4,221 |
$0.00 |
| 99173 |
|
238 |
206 |
$0.00 |
| 90707 |
|
287 |
281 |
$0.00 |
| 90633 |
|
264 |
258 |
$0.00 |
| 90734 |
|
37 |
37 |
$0.00 |
| 3725F |
|
127 |
121 |
$0.00 |
| 90715 |
|
64 |
64 |
$0.00 |
| 96160 |
|
72 |
70 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |