| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,158 |
751 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
588 |
360 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
574 |
440 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
431 |
240 |
$12K |
| 99051 |
|
1,096 |
590 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,136 |
721 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,386 |
382 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
81 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
912 |
530 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
396 |
366 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
350 |
320 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
92 |
63 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
194 |
176 |
$2K |
| 99382 |
|
44 |
28 |
$2K |
| 92552 |
|
39 |
27 |
$535.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
895 |
539 |
$423.03 |
| 90756 |
|
17 |
15 |
$272.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
66 |
$210.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
12 |
$92.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
268 |
179 |
$62.93 |
| 99173 |
|
47 |
31 |
$46.33 |
| 81002 |
|
31 |
26 |
$44.46 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
12 |
$10.83 |
| 85018 |
|
24 |
19 |
$9.04 |
| 99000 |
|
1,464 |
826 |
$0.00 |
| 90688 |
|
76 |
69 |
$0.00 |
| 36416 |
|
51 |
34 |
$0.00 |