| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,083 |
4,693 |
$499K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,606 |
2,345 |
$174K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
287 |
286 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
203 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,060 |
797 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
132 |
122 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$5K |
| 96127 |
|
1,208 |
1,199 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
393 |
393 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
27 |
$737.59 |
| 90686 |
|
44 |
44 |
$729.00 |
| 99406 |
|
85 |
83 |
$697.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
49 |
$687.53 |
| 81003 |
|
274 |
268 |
$510.61 |
| 90656 |
|
20 |
20 |
$440.33 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
216 |
112 |
$349.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$26.05 |
| 1159F |
|
8,128 |
7,105 |
$7.25 |
| 1160F |
|
8,117 |
7,102 |
$7.25 |
| 1126F |
|
1,522 |
1,408 |
$2.23 |
| 1125F |
|
560 |
539 |
$1.12 |
| 3074F |
|
1,426 |
1,384 |
$0.95 |
| 3078F |
|
1,068 |
1,039 |
$0.76 |
| 3079F |
|
812 |
789 |
$0.45 |
| 3351F |
|
332 |
330 |
$0.22 |
| 3075F |
|
343 |
336 |
$0.19 |
| 3008F |
|
2,245 |
2,192 |
$0.13 |
| 3077F |
|
16 |
16 |
$0.03 |
| 3352F |
|
40 |
40 |
$0.01 |
| 3353F |
|
28 |
28 |
$0.01 |
| 3080F |
|
13 |
13 |
$0.01 |
| 3354F |
|
24 |
24 |
$0.00 |
| 3044F |
|
105 |
102 |
$0.00 |
| 98966 |
|
28 |
28 |
$0.00 |