| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,709 |
5,519 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,820 |
2,918 |
$196K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
552 |
547 |
$34K |
| 93000 |
|
745 |
722 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
299 |
295 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
59 |
59 |
$13K |
| 46255 |
|
22 |
12 |
$8K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,026 |
863 |
$6K |
| 76881 |
|
53 |
45 |
$5K |
| 99205 |
Prolong outpt/office vis |
55 |
55 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
248 |
226 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
61 |
$3K |
| 81002 |
|
1,434 |
1,383 |
$3K |
| 64493 |
|
14 |
13 |
$2K |
| 93880 |
|
16 |
16 |
$2K |
| 90756 |
|
46 |
46 |
$2K |
| 72100 |
|
77 |
77 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
322 |
309 |
$2K |
| 64494 |
|
14 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
222 |
178 |
$995.57 |
| 73564 |
|
50 |
40 |
$974.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
154 |
138 |
$743.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
46 |
$572.84 |
| 72040 |
|
30 |
29 |
$557.40 |
| 92567 |
|
47 |
46 |
$554.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$312.47 |
| 82962 |
|
135 |
129 |
$270.00 |
| 82947 |
|
76 |
74 |
$210.21 |
| 81025 |
|
27 |
23 |
$75.60 |
| G0008 |
Administration of influenza virus vaccine |
19 |
15 |
$0.00 |