| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,476 |
1,202 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
477 |
358 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
349 |
311 |
$4K |
| 87428 |
|
122 |
122 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
53 |
$3K |
| 85027 |
|
901 |
846 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
103 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
54 |
$486.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$238.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
350 |
301 |
$176.54 |
| 81003 |
|
26 |
25 |
$22.00 |
| 36416 |
|
803 |
753 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
52 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 99051 |
|
517 |
469 |
$0.00 |
| 99072 |
|
1,137 |
999 |
$0.00 |