| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,717 |
3,184 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
808 |
716 |
$34K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,227 |
1,032 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
705 |
630 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
332 |
301 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
447 |
203 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
262 |
195 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
259 |
234 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
37 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99334 |
|
158 |
158 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$659.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
20 |
$501.62 |
| 90461 |
|
52 |
40 |
$423.38 |
| 87807 |
|
27 |
27 |
$279.67 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
125 |
117 |
$71.03 |
| 90686 |
|
25 |
25 |
$17.93 |
| 86580 |
|
29 |
29 |
$13.32 |
| 90662 |
|
40 |
40 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
66 |
60 |
$0.00 |