| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,901 |
26,561 |
$2.17M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,386 |
4,333 |
$423K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,427 |
4,312 |
$394K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,931 |
8,734 |
$304K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,120 |
10,303 |
$142K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,855 |
2,680 |
$136K |
| 90461 |
|
5,375 |
5,265 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
906 |
896 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,481 |
5,127 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
410 |
408 |
$44K |
| 87428 |
|
554 |
528 |
$32K |
| 87807 |
|
2,172 |
2,023 |
$24K |
| 90677 |
|
454 |
441 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
115 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
124 |
117 |
$7K |
| 99460 |
|
98 |
93 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
83 |
$6K |
| 81002 |
|
1,154 |
1,074 |
$3K |
| 99381 |
|
18 |
18 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
100 |
97 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$1K |
| 99051 |
|
55 |
51 |
$617.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
162 |
110 |
$598.19 |
| 85018 |
|
568 |
562 |
$433.43 |
| 99462 |
|
15 |
13 |
$327.60 |
| 90670 |
|
2,712 |
2,665 |
$185.87 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
56 |
29 |
$115.73 |
| 90698 |
|
947 |
931 |
$93.99 |
| 90680 |
|
870 |
854 |
$81.44 |
| 92551 |
|
13 |
13 |
$53.27 |
| 90744 |
|
638 |
630 |
$23.21 |
| 90686 |
|
939 |
926 |
$16.42 |
| 90696 |
|
261 |
260 |
$0.00 |
| 90723 |
|
1,492 |
1,460 |
$0.00 |
| 90651 |
|
71 |
70 |
$0.00 |
| 90681 |
|
964 |
938 |
$0.00 |
| 90700 |
|
363 |
362 |
$0.00 |
| 90648 |
|
2,061 |
2,027 |
$0.00 |
| 90710 |
|
1,441 |
1,430 |
$0.00 |
| 90633 |
|
1,508 |
1,500 |
$0.00 |
| 90655 |
|
135 |
133 |
$0.00 |
| 90715 |
|
57 |
56 |
$0.00 |