| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,542 |
9,414 |
$395K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,691 |
6,308 |
$324K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,845 |
3,249 |
$42K |
| 99215 |
Prolong outpt/office vis |
429 |
323 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
257 |
215 |
$13K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,125 |
1,885 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
127 |
$9K |
| 1159F |
|
8,067 |
6,327 |
$6K |
| 1160F |
|
8,061 |
6,321 |
$6K |
| 3008F |
|
7,725 |
6,110 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
234 |
214 |
$6K |
| 1170F |
|
4,042 |
3,328 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
157 |
118 |
$5K |
| 96111 |
|
76 |
48 |
$4K |
| 1126F |
|
6,237 |
5,016 |
$4K |
| 82044 |
|
1,359 |
1,133 |
$3K |
| 90756 |
|
307 |
262 |
$3K |
| 81003 |
|
3,272 |
2,724 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
39 |
$3K |
| 96127 |
|
878 |
583 |
$3K |
| 3074F |
|
5,665 |
4,541 |
$3K |
| 1125F |
|
1,714 |
1,404 |
$3K |
| 81025 |
|
623 |
511 |
$3K |
| 82570 |
|
1,311 |
1,091 |
$2K |
| 3079F |
|
3,363 |
2,688 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
30 |
$2K |
| 3078F |
|
3,954 |
3,121 |
$2K |
| 3077F |
|
1,259 |
997 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
122 |
99 |
$1K |
| 3080F |
|
841 |
689 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
95 |
$946.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
91 |
$825.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
32 |
$722.24 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
14 |
$628.34 |
| 3075F |
|
964 |
736 |
$620.00 |
| 99307 |
|
74 |
62 |
$615.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
354 |
311 |
$568.71 |
| 99173 |
|
150 |
94 |
$499.20 |
| 93000 |
|
19 |
15 |
$324.34 |
| 92551 |
|
34 |
24 |
$195.88 |
| 96160 |
|
37 |
22 |
$179.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
320 |
284 |
$137.18 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
32 |
27 |
$31.65 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$30.23 |
| 82948 |
|
12 |
12 |
$6.47 |
| G0008 |
Administration of influenza virus vaccine |
118 |
107 |
$4.35 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
134 |
95 |
$0.00 |
| 99000 |
|
118 |
107 |
$0.00 |
| 3288F |
|
18 |
14 |
$0.00 |
| 3725F |
|
1,068 |
821 |
$0.00 |
| 99499 |
|
42 |
30 |
$0.00 |