| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,515 |
22,203 |
$944K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
4,776 |
4,333 |
$667K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,341 |
8,174 |
$394K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,488 |
6,148 |
$339K |
| 87428 |
|
7,709 |
6,865 |
$296K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,485 |
3,398 |
$275K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,943 |
2,889 |
$243K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,237 |
2,183 |
$191K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,455 |
7,263 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,267 |
2,188 |
$172K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,604 |
3,401 |
$89K |
| 99429 |
|
2,895 |
2,862 |
$88K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,180 |
4,009 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,376 |
7,675 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,727 |
1,763 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
694 |
678 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,961 |
2,492 |
$24K |
| 90461 |
|
2,223 |
1,922 |
$17K |
| 87807 |
|
1,560 |
1,384 |
$16K |
| 0071A |
|
409 |
397 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,329 |
1,196 |
$15K |
| 0001A |
|
390 |
388 |
$15K |
| 99381 |
|
172 |
168 |
$14K |
| 0002A |
|
335 |
335 |
$13K |
| 99000 |
|
1,166 |
1,113 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
772 |
742 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
199 |
199 |
$10K |
| 94010 |
|
310 |
296 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
68 |
$6K |
| 0072A |
|
126 |
125 |
$5K |
| 0003A |
|
81 |
79 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
66 |
$3K |
| 97169 |
|
52 |
52 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
27 |
$2K |
| 81002 |
|
641 |
599 |
$2K |
| 0081A |
|
32 |
32 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
98 |
97 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
30 |
$982.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
585 |
516 |
$967.90 |
| 96160 |
|
623 |
609 |
$502.00 |
| 0031A |
|
19 |
18 |
$400.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
139 |
137 |
$365.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
163 |
155 |
$231.29 |
| 86580 |
|
14 |
14 |
$113.96 |
| 90686 |
|
2,246 |
2,220 |
$1.34 |
| 90651 |
|
663 |
653 |
$0.35 |
| 90620 |
|
477 |
468 |
$0.20 |
| 90671 |
|
89 |
89 |
$0.05 |
| 90670 |
|
2,003 |
1,975 |
$0.02 |
| 90734 |
|
713 |
700 |
$0.00 |
| 90710 |
|
170 |
168 |
$0.00 |
| 91300 |
|
108 |
106 |
$0.00 |
| 90681 |
|
887 |
873 |
$0.00 |
| 90633 |
|
1,052 |
1,041 |
$0.00 |
| 90700 |
|
273 |
271 |
$0.00 |
| 90707 |
|
319 |
318 |
$0.00 |
| 90648 |
|
1,450 |
1,432 |
$0.00 |
| 90380 |
|
15 |
15 |
$0.00 |
| 91308 |
|
54 |
51 |
$0.00 |
| 90715 |
|
145 |
143 |
$0.00 |
| 90723 |
|
909 |
896 |
$0.00 |
| 90696 |
|
172 |
170 |
$0.00 |
| 91307 |
|
603 |
547 |
$0.00 |
| 90698 |
|
280 |
271 |
$0.00 |
| 90716 |
|
311 |
310 |
$0.00 |
| 90656 |
|
217 |
216 |
$0.00 |
| 90744 |
|
45 |
43 |
$0.00 |