| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,300 |
5,492 |
$147K |
| 99349 |
|
110 |
75 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
132 |
116 |
$960.95 |
| 90686 |
|
149 |
146 |
$669.52 |
| 90756 |
|
118 |
102 |
$613.75 |
| 90674 |
|
62 |
51 |
$471.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
43 |
$284.15 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
12 |
$219.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
14 |
$196.52 |
| G0008 |
Administration of influenza virus vaccine |
243 |
223 |
$146.26 |
| 90656 |
|
20 |
19 |
$114.12 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
13 |
$81.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
14 |
$3.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$2.80 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
30 |
$0.00 |