| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,689 |
23,967 |
$1.97M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,871 |
1,820 |
$192K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,745 |
1,690 |
$162K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,426 |
1,364 |
$157K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,317 |
1,289 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
939 |
836 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,679 |
2,950 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,987 |
4,758 |
$41K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,728 |
2,452 |
$29K |
| 92552 |
|
986 |
915 |
$22K |
| 90461 |
|
2,082 |
2,002 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
122 |
$14K |
| 92081 |
|
1,116 |
1,026 |
$14K |
| 90670 |
|
644 |
623 |
$13K |
| 99050 |
|
1,778 |
1,225 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,259 |
2,061 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
71 |
$7K |
| 90651 |
|
590 |
577 |
$4K |
| 87807 |
|
986 |
904 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
308 |
203 |
$2K |
| 97802 |
|
2,827 |
2,745 |
$972.76 |
| 81000 |
|
745 |
647 |
$820.12 |
| 90620 |
|
111 |
109 |
$738.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
216 |
190 |
$491.03 |
| 36415 |
Collection of venous blood by venipuncture |
221 |
193 |
$421.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
150 |
85 |
$177.00 |
| 90633 |
|
235 |
226 |
$95.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
125 |
$49.78 |
| 90707 |
|
145 |
139 |
$40.00 |
| 90686 |
|
405 |
398 |
$23.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$1.24 |
| 90700 |
|
59 |
56 |
$0.00 |
| 90734 |
|
169 |
166 |
$0.00 |
| 90715 |
|
79 |
77 |
$0.00 |
| 90713 |
|
18 |
12 |
$0.00 |
| 90648 |
|
28 |
26 |
$0.00 |
| 69210 |
|
15 |
15 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,620 |
2,548 |
$0.00 |
| 90680 |
|
275 |
272 |
$0.00 |
| 90716 |
|
231 |
223 |
$0.00 |
| 90698 |
|
284 |
279 |
$0.00 |
| 90677 |
|
45 |
42 |
$0.00 |
| 90744 |
|
96 |
95 |
$0.00 |