| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,894 |
8,938 |
$824K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,777 |
7,552 |
$478K |
| 99215 |
Prolong outpt/office vis |
415 |
382 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
2,762 |
2,431 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,715 |
2,160 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
979 |
476 |
$12K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,249 |
1,184 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
365 |
353 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
710 |
686 |
$9K |
| 70210 |
|
379 |
341 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
207 |
203 |
$4K |
| 81003 |
|
2,073 |
1,922 |
$3K |
| 74019 |
|
178 |
167 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$3K |
| 81000 |
|
844 |
743 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
246 |
245 |
$3K |
| 93000 |
|
225 |
219 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
438 |
410 |
$2K |
| 90688 |
|
99 |
99 |
$1K |
| 90686 |
|
140 |
140 |
$1K |
| 90674 |
|
71 |
71 |
$856.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
25 |
$664.40 |
| 87807 |
|
32 |
32 |
$296.66 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
49 |
43 |
$87.42 |
| 3078F |
|
13 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |