| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,408 |
4,515 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,147 |
2,597 |
$154K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,200 |
1,055 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,666 |
1,424 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,622 |
1,137 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,074 |
1,798 |
$22K |
| 92552 |
|
565 |
481 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
744 |
629 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
112 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
405 |
345 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
467 |
365 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
87 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
65 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,708 |
2,238 |
$3K |
| 85018 |
|
1,244 |
1,068 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
30 |
$3K |
| 36416 |
|
1,180 |
1,067 |
$2K |
| 81003 |
|
938 |
798 |
$2K |
| 99173 |
|
314 |
268 |
$1K |
| 87807 |
|
118 |
107 |
$1K |
| 90674 |
|
81 |
58 |
$595.32 |
| 86580 |
|
46 |
22 |
$54.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
26 |
$13.04 |
| 99000 |
|
285 |
258 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
15 |
$0.00 |
| 90648 |
|
36 |
27 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |
| 90670 |
|
34 |
26 |
$0.00 |