| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,133 |
29,878 |
$2.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,168 |
9,829 |
$968K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,543 |
2,349 |
$211K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,129 |
1,052 |
$146K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,265 |
2,924 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,266 |
1,158 |
$111K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,932 |
5,133 |
$78K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,073 |
3,901 |
$72K |
| 87400 |
|
6,266 |
2,776 |
$72K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
962 |
891 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
584 |
542 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
572 |
525 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
412 |
386 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
715 |
701 |
$23K |
| 81000 |
|
6,121 |
5,284 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
227 |
206 |
$20K |
| 81025 |
|
2,248 |
2,011 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,216 |
577 |
$15K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,295 |
1,208 |
$14K |
| 20610 |
|
197 |
180 |
$11K |
| 87420 |
|
682 |
601 |
$8K |
| 90686 |
|
1,108 |
1,062 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
337 |
309 |
$5K |
| 96127 |
|
289 |
272 |
$3K |
| A4550 |
Surgical trays |
176 |
165 |
$3K |
| 90688 |
|
196 |
192 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
227 |
216 |
$2K |
| 85018 |
|
2,515 |
2,158 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 81002 |
|
937 |
869 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
144 |
128 |
$1K |
| 87210 |
|
922 |
798 |
$810.94 |
| 90649 |
|
376 |
352 |
$787.91 |
| 90716 |
|
253 |
246 |
$532.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
39 |
$408.33 |
| 90670 |
|
418 |
402 |
$391.93 |
| 90658 |
|
111 |
104 |
$379.35 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
32 |
32 |
$344.59 |
| 87807 |
|
33 |
29 |
$342.16 |
| 90707 |
|
229 |
222 |
$322.50 |
| 90734 |
|
235 |
224 |
$286.64 |
| 90715 |
|
198 |
188 |
$240.72 |
| 90713 |
|
794 |
774 |
$172.41 |
| 90700 |
|
984 |
958 |
$111.10 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
37 |
$110.89 |
| 82948 |
|
575 |
487 |
$17.50 |
| 90648 |
|
425 |
419 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90685 |
|
56 |
55 |
$0.00 |
| 90633 |
|
77 |
77 |
$0.00 |
| 90744 |
|
108 |
107 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90632 |
|
13 |
13 |
$0.00 |