| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,676 |
5,257 |
$198K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,999 |
1,943 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
273 |
217 |
$8K |
| 95117 |
|
806 |
301 |
$5K |
| 80305 |
|
1,831 |
1,270 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
379 |
264 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
53 |
49 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
164 |
$1K |
| 86328 |
|
43 |
42 |
$1K |
| 90756 |
|
108 |
87 |
$997.39 |
| 82962 |
|
1,502 |
994 |
$689.73 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
89 |
71 |
$685.79 |
| 81002 |
|
455 |
347 |
$528.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,054 |
728 |
$352.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
24 |
$285.43 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
561 |
415 |
$280.32 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
128 |
93 |
$125.89 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
214 |
164 |
$98.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,076 |
832 |
$94.57 |
| 81025 |
|
17 |
13 |
$89.71 |
| G0008 |
Administration of influenza virus vaccine |
17 |
15 |
$0.00 |