| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,817 |
9,073 |
$456K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,292 |
1,581 |
$108K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,931 |
2,724 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
872 |
725 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
404 |
365 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
406 |
381 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
177 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
473 |
380 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
824 |
658 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,704 |
1,817 |
$2K |
| 94690 |
|
73 |
50 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
175 |
136 |
$698.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,268 |
1,536 |
$584.58 |
| 94375 |
|
72 |
50 |
$540.07 |
| 81003 |
|
210 |
170 |
$389.45 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$351.29 |
| 87807 |
|
32 |
32 |
$319.00 |
| 94200 |
|
72 |
50 |
$314.29 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
13 |
$254.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
24 |
$198.88 |
| 80305 |
|
14 |
14 |
$82.17 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$4.00 |