| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,491 |
6,352 |
$387K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,212 |
6,831 |
$267K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,940 |
4,429 |
$89K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
881 |
759 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,178 |
971 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,776 |
1,522 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
327 |
297 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,246 |
3,509 |
$8K |
| 86328 |
|
108 |
82 |
$3K |
| 94760 |
|
569 |
418 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,912 |
1,636 |
$2K |
| 99173 |
|
348 |
335 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,589 |
2,978 |
$1K |
| 81003 |
|
930 |
823 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$906.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
48 |
$696.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
57 |
$620.94 |
| 87807 |
|
63 |
58 |
$522.68 |
| V5008 |
Hearing screening |
59 |
59 |
$509.46 |
| 92551 |
|
79 |
77 |
$508.74 |
| 90756 |
|
80 |
72 |
$320.00 |
| 90686 |
|
37 |
36 |
$191.35 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
81 |
56 |
$98.89 |
| 81025 |
|
12 |
12 |
$53.08 |
| 81002 |
|
26 |
25 |
$44.66 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
44 |
38 |
$3.80 |
| 99001 |
|
25 |
20 |
$0.00 |
| 99072 |
|
110 |
83 |
$0.00 |
| 99000 |
|
48 |
46 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |
| 90688 |
|
18 |
15 |
$0.00 |