| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,139 |
13,910 |
$1.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,425 |
13,110 |
$826K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,225 |
10,997 |
$509K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,709 |
3,683 |
$322K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,855 |
3,792 |
$312K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,624 |
2,611 |
$224K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,084 |
2,078 |
$197K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,045 |
1,990 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
466 |
464 |
$37K |
| 99383 |
|
218 |
215 |
$21K |
| 99381 |
|
224 |
220 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,676 |
1,676 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,037 |
1,027 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
372 |
359 |
$10K |
| 87807 |
|
512 |
505 |
$6K |
| 99384 |
|
44 |
44 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
123 |
122 |
$4K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$1K |
| 99460 |
|
12 |
12 |
$816.24 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
179 |
172 |
$620.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
185 |
179 |
$58.37 |
| 90700 |
|
1,851 |
1,796 |
$0.00 |
| 90670 |
|
1,192 |
1,141 |
$0.00 |
| 90648 |
|
578 |
558 |
$0.00 |
| 90633 |
|
624 |
599 |
$0.00 |
| 90713 |
|
1,438 |
1,387 |
$0.00 |
| 90707 |
|
413 |
390 |
$0.00 |
| 90671 |
|
192 |
192 |
$0.00 |
| 90685 |
|
70 |
69 |
$0.00 |
| 90734 |
|
140 |
124 |
$0.00 |
| 90715 |
|
43 |
43 |
$0.00 |
| 90710 |
|
41 |
41 |
$0.00 |
| 90672 |
|
47 |
36 |
$0.00 |
| 90651 |
|
258 |
238 |
$0.00 |
| 90686 |
|
938 |
832 |
$0.00 |
| 90680 |
|
769 |
742 |
$0.00 |
| 90716 |
|
438 |
407 |
$0.00 |
| 90698 |
|
130 |
130 |
$0.00 |
| 90744 |
|
622 |
585 |
$0.00 |
| 90647 |
|
525 |
508 |
$0.00 |
| 90656 |
|
92 |
92 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |