| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,085 |
14,507 |
$329K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,328 |
2,070 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,070 |
1,025 |
$19K |
| 99215 |
Prolong outpt/office vis |
349 |
323 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
189 |
189 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
119 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
87 |
$3K |
| 92552 |
|
553 |
552 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
26 |
25 |
$2K |
| 90686 |
|
1,050 |
1,042 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
55 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
391 |
324 |
$1K |
| 99173 |
|
518 |
518 |
$529.03 |
| 86580 |
|
577 |
565 |
$466.20 |
| 85018 |
|
1,357 |
1,349 |
$441.48 |
| 90715 |
|
24 |
24 |
$328.64 |
| 87400 |
|
86 |
61 |
$202.65 |
| 90651 |
|
43 |
43 |
$198.00 |
| 90734 |
|
36 |
36 |
$180.00 |
| 81003 |
|
1,233 |
1,203 |
$162.49 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
53 |
46 |
$139.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$107.66 |
| 90707 |
|
12 |
12 |
$90.00 |
| 90700 |
|
12 |
12 |
$90.00 |
| 81025 |
|
295 |
263 |
$75.60 |
| D1206 |
Topical application of fluoride varnish |
195 |
194 |
$21.73 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
21 |
14 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
29 |
29 |
$0.00 |
| 90756 |
|
14 |
14 |
$0.00 |
| 87428 |
|
70 |
69 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
144 |
126 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
137 |
134 |
$0.00 |
| 90688 |
|
16 |
16 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
17 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |