| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,357 |
8,529 |
$474K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,246 |
7,995 |
$314K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
751 |
561 |
$23K |
| 99215 |
Prolong outpt/office vis |
466 |
395 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,034 |
2,949 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
239 |
209 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
227 |
26 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
65 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
77 |
68 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
166 |
$2K |
| 90756 |
|
88 |
66 |
$1K |
| 93000 |
|
112 |
106 |
$1K |
| 90686 |
|
59 |
57 |
$1K |
| 81002 |
|
617 |
449 |
$660.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
56 |
$656.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
910 |
790 |
$563.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
298 |
257 |
$399.54 |
| 20610 |
|
24 |
13 |
$396.02 |
| 90688 |
|
22 |
21 |
$295.44 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
30 |
17 |
$217.28 |
| 90661 |
|
14 |
12 |
$147.40 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
66 |
39 |
$126.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
885 |
628 |
$71.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
21 |
12 |
$37.93 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$27.95 |
| 0513F |
|
64 |
44 |
$10.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
327 |
241 |
$6.70 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
283 |
166 |
$1.53 |
| 3074F |
|
32 |
26 |
$0.00 |
| 4010F |
|
18 |
17 |
$0.00 |
| 3066F |
|
13 |
13 |
$0.00 |
| 2000F |
|
65 |
44 |
$0.00 |
| 99000 |
|
15 |
12 |
$0.00 |
| 1101F |
|
17 |
13 |
$0.00 |
| 1090F |
|
17 |
13 |
$0.00 |
| 3078F |
|
59 |
41 |
$0.00 |
| 1026F |
|
13 |
13 |
$0.00 |
| 0518F |
|
18 |
14 |
$0.00 |
| 4145F |
|
14 |
12 |
$0.00 |
| 3288F |
|
17 |
13 |
$0.00 |