| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99091 |
|
1,142 |
1,078 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,723 |
1,398 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,636 |
1,405 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
413 |
395 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
284 |
279 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
179 |
167 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
462 |
225 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
351 |
295 |
$3K |
| 99490 |
Ccm add 20min |
496 |
469 |
$2K |
| 99439 |
|
303 |
285 |
$1K |
| 90715 |
|
25 |
25 |
$825.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
51 |
$549.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$220.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
118 |
111 |
$127.09 |
| 36415 |
Collection of venous blood by venipuncture |
924 |
876 |
$95.67 |
| 99487 |
Ccm add 20min |
70 |
70 |
$0.00 |
| 99458 |
|
81 |
78 |
$0.00 |
| 99457 |
|
82 |
79 |
$0.00 |
| 99454 |
|
40 |
39 |
$0.00 |