| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,412 |
3,338 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,381 |
1,877 |
$122K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,379 |
2,844 |
$61K |
| 99401 |
|
1,597 |
756 |
$23K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
5,211 |
2,488 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
186 |
105 |
$3K |
| 76830 |
Ultrasound, transvaginal |
23 |
16 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
12 |
$1K |
| 90686 |
|
69 |
41 |
$724.93 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
12 |
$615.72 |
| 90756 |
|
29 |
21 |
$368.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
41 |
$276.77 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
144 |
77 |
$240.32 |
| 99406 |
|
26 |
14 |
$175.71 |
| G0008 |
Administration of influenza virus vaccine |
51 |
36 |
$155.14 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
88 |
29 |
$112.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
258 |
171 |
$99.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
371 |
236 |
$32.05 |