| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,802 |
4,486 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,150 |
3,026 |
$122K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,102 |
948 |
$48K |
| 84703 |
|
3,218 |
2,313 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
501 |
444 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
41 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,200 |
1,339 |
$3K |
| 58100 |
|
56 |
50 |
$3K |
| 90682 |
|
126 |
102 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
250 |
215 |
$2K |
| 99441 |
|
373 |
266 |
$2K |
| 90688 |
|
286 |
193 |
$2K |
| 81002 |
|
1,310 |
801 |
$1K |
| 99385 |
|
20 |
18 |
$1K |
| 99386 |
|
13 |
12 |
$935.70 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$653.17 |
| 90686 |
|
98 |
67 |
$627.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
361 |
121 |
$446.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
751 |
534 |
$214.73 |
| 99442 |
|
21 |
16 |
$136.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
16 |
$90.93 |
| 81000 |
|
707 |
319 |
$87.75 |
| 82948 |
|
470 |
182 |
$68.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
882 |
677 |
$54.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,136 |
718 |
$41.31 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
181 |
107 |
$9.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
53 |
38 |
$7.93 |
| G0008 |
Administration of influenza virus vaccine |
185 |
142 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
163 |
86 |
$0.00 |
| 90662 |
|
90 |
70 |
$0.00 |