| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,562 |
3,651 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,163 |
1,829 |
$113K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,663 |
1,327 |
$30K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
791 |
662 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
30 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
68 |
59 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
182 |
89 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
990 |
890 |
$2K |
| 99173 |
|
27 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$711.36 |
| 90756 |
|
16 |
15 |
$241.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$218.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
84 |
80 |
$141.91 |
| 81003 |
|
256 |
236 |
$49.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
26 |
$12.24 |
| 81002 |
|
26 |
24 |
$6.90 |
| 3008F |
|
451 |
422 |
$0.01 |
| 1160F |
|
98 |
93 |
$0.00 |
| 2010F |
|
190 |
178 |
$0.00 |