| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63,882 |
52,027 |
$1.61M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19,639 |
14,968 |
$258K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
8,397 |
7,011 |
$195K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,730 |
4,121 |
$174K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,827 |
5,339 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,446 |
2,914 |
$138K |
| 87428 |
|
1,504 |
1,378 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,351 |
3,773 |
$65K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,269 |
2,026 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,579 |
3,285 |
$32K |
| T1015 |
Clinic visit/encounter, all-inclusive |
58,750 |
50,060 |
$27K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,761 |
3,731 |
$12K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,682 |
6,399 |
$8K |
| 86328 |
|
212 |
192 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
68 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
58 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
304 |
253 |
$1K |
| 87807 |
|
144 |
133 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
57 |
$631.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$502.47 |
| 36415 |
Collection of venous blood by venipuncture |
598 |
419 |
$498.53 |
| 81003 |
|
1,365 |
1,209 |
$338.26 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
17 |
$336.80 |
| 81000 |
|
290 |
223 |
$330.38 |
| 93000 |
|
13 |
13 |
$200.70 |
| 85027 |
|
123 |
82 |
$195.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
46 |
31 |
$136.07 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
27 |
25 |
$75.43 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
334 |
298 |
$0.00 |