| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,679 |
32,584 |
$2.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,949 |
15,320 |
$1.70M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,599 |
3,561 |
$275K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,705 |
3,669 |
$274K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,124 |
2,016 |
$243K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,719 |
8,073 |
$195K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,306 |
2,093 |
$155K |
| 99495 |
|
1,781 |
1,722 |
$154K |
| 99442 |
|
2,780 |
2,474 |
$153K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15,075 |
10,596 |
$148K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,654 |
4,271 |
$132K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,579 |
1,558 |
$127K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,306 |
7,792 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,278 |
1,265 |
$85K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,094 |
8,726 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
771 |
769 |
$80K |
| 99348 |
|
1,233 |
934 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
881 |
862 |
$68K |
| 99349 |
|
614 |
490 |
$56K |
| 99383 |
|
421 |
417 |
$38K |
| 99441 |
|
869 |
799 |
$36K |
| 99384 |
|
245 |
244 |
$25K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
11,620 |
8,693 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
513 |
474 |
$20K |
| 99385 |
|
207 |
204 |
$20K |
| 81003 |
|
9,449 |
7,658 |
$17K |
| 99406 |
|
2,462 |
2,406 |
$16K |
| 99382 |
|
148 |
147 |
$13K |
| 90688 |
|
4,802 |
4,738 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
750 |
729 |
$8K |
| 99381 |
|
95 |
94 |
$8K |
| 81025 |
|
1,097 |
917 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,489 |
1,442 |
$7K |
| 83655 |
|
751 |
749 |
$7K |
| 85018 |
|
2,753 |
2,648 |
$5K |
| 99386 |
|
45 |
45 |
$5K |
| 90715 |
|
495 |
494 |
$4K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
594 |
485 |
$4K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,190 |
1,526 |
$3K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
350 |
290 |
$2K |
| 90651 |
|
636 |
632 |
$2K |
| 69210 |
|
59 |
55 |
$1K |
| 94664 |
|
161 |
154 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 90621 |
|
109 |
108 |
$1K |
| 99050 |
|
236 |
233 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
63 |
62 |
$464.46 |
| 36416 |
|
107 |
107 |
$413.28 |
| 90716 |
|
906 |
899 |
$332.53 |
| 82962 |
|
127 |
77 |
$328.79 |
| 99401 |
|
95 |
89 |
$247.45 |
| 90707 |
|
884 |
879 |
$231.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
12 |
$219.36 |
| 90670 |
|
1,453 |
1,420 |
$205.13 |
| 90656 |
|
65 |
65 |
$156.45 |
| 99188 |
|
23 |
23 |
$152.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
106 |
76 |
$138.32 |
| 90734 |
|
437 |
435 |
$128.85 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
12 |
12 |
$94.84 |
| J1815 |
Injection, insulin, per 5 units |
18 |
13 |
$0.11 |
| 90461 |
|
42 |
41 |
$0.00 |
| 90648 |
|
1,218 |
1,196 |
$0.00 |
| 90687 |
|
266 |
265 |
$0.00 |
| 90700 |
|
257 |
256 |
$0.00 |
| 90633 |
|
624 |
615 |
$0.00 |
| 99080 |
|
21 |
20 |
$0.00 |
| 90723 |
|
649 |
639 |
$0.00 |
| 90680 |
|
760 |
749 |
$0.00 |
| 94760 |
|
94 |
84 |
$0.00 |
| 90696 |
|
132 |
131 |
$0.00 |