| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,041 |
8,212 |
$353K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
909 |
845 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,635 |
1,509 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
313 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
408 |
342 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
258 |
233 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
101 |
99 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
473 |
442 |
$6K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
15 |
12 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
345 |
304 |
$4K |
| 90688 |
|
265 |
255 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$3K |
| 90686 |
|
120 |
114 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
47 |
$564.59 |
| 99441 |
|
854 |
767 |
$528.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
84 |
65 |
$382.99 |
| 81002 |
|
183 |
164 |
$353.15 |
| 0012A |
|
14 |
14 |
$347.41 |
| 0011A |
|
19 |
13 |
$314.41 |
| 90658 |
|
15 |
14 |
$275.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
18 |
$210.12 |
| 81025 |
|
31 |
27 |
$157.75 |
| 92551 |
|
13 |
13 |
$105.83 |
| 99173 |
|
12 |
12 |
$23.32 |
| 91301 |
|
50 |
47 |
$0.00 |