| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,083 |
16,553 |
$989K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,904 |
4,458 |
$347K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,795 |
2,656 |
$169K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,547 |
1,424 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,416 |
1,373 |
$98K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,777 |
3,522 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,499 |
4,796 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
551 |
542 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,473 |
3,611 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
736 |
685 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
779 |
729 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,292 |
1,071 |
$28K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
203 |
196 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
387 |
174 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,130 |
1,082 |
$16K |
| 87807 |
|
1,020 |
933 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
924 |
689 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
915 |
887 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
73 |
67 |
$6K |
| 87631 |
|
20 |
20 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,748 |
3,237 |
$2K |
| 86308 |
|
277 |
260 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$384.29 |
| 81003 |
|
141 |
134 |
$290.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
710 |
670 |
$36.19 |
| 36416 |
|
5,641 |
4,803 |
$10.12 |
| 90697 |
|
471 |
456 |
$0.00 |
| 90680 |
|
414 |
402 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90670 |
|
365 |
358 |
$0.00 |
| 90633 |
|
118 |
113 |
$0.00 |
| 90473 |
|
205 |
202 |
$0.00 |
| 90671 |
|
274 |
260 |
$0.00 |
| 90710 |
|
81 |
78 |
$0.00 |