| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,271 |
21,723 |
$1.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,386 |
10,863 |
$379K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,916 |
1,371 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
895 |
820 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
907 |
828 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
407 |
381 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
105 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
763 |
599 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
564 |
506 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,045 |
1,555 |
$4K |
| 92551 |
|
493 |
464 |
$4K |
| 90686 |
|
382 |
354 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
170 |
165 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
26 |
$2K |
| 99173 |
|
625 |
581 |
$938.81 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$934.23 |
| 81003 |
|
606 |
442 |
$747.72 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
34 |
$410.34 |
| 90656 |
|
30 |
26 |
$223.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
673 |
642 |
$218.63 |
| 92552 |
|
15 |
15 |
$180.30 |
| 81025 |
|
15 |
13 |
$75.72 |
| 96127 |
|
75 |
55 |
$27.50 |
| 3044F |
|
452 |
368 |
$20.00 |
| 3078F |
|
5,753 |
4,866 |
$0.00 |
| 1159F |
|
19,820 |
16,756 |
$0.00 |
| 1160F |
|
15,888 |
13,427 |
$0.00 |
| 3288F |
|
295 |
250 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
64 |
49 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 3077F |
|
16 |
13 |
$0.00 |
| 90633 |
|
17 |
12 |
$0.00 |
| 3008F |
|
18,269 |
15,141 |
$0.00 |
| 3075F |
|
1,336 |
1,180 |
$0.00 |
| 3074F |
|
6,393 |
5,380 |
$0.00 |
| 3079F |
|
2,328 |
2,035 |
$0.00 |
| 1126F |
|
213 |
195 |
$0.00 |
| 1036F |
|
631 |
545 |
$0.00 |
| 4010F |
|
499 |
409 |
$0.00 |
| 1125F |
|
226 |
207 |
$0.00 |
| 1000F |
|
806 |
701 |
$0.00 |
| 1034F |
|
108 |
93 |
$0.00 |
| 3066F |
|
15 |
12 |
$0.00 |