| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,096 |
12,924 |
$875K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,189 |
1,905 |
$144K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
586 |
516 |
$43K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,115 |
907 |
$33K |
| 87632 |
|
85 |
73 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,383 |
1,026 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
102 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
892 |
408 |
$10K |
| 81025 |
|
1,498 |
1,228 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
415 |
373 |
$5K |
| 80305 |
|
446 |
376 |
$4K |
| 87581 |
|
85 |
73 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
85 |
73 |
$3K |
| 87486 |
|
85 |
73 |
$3K |
| 83013 |
|
37 |
32 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
193 |
175 |
$2K |
| 0001A |
|
33 |
29 |
$717.40 |
| 0002A |
|
19 |
18 |
$645.66 |
| 90674 |
|
33 |
33 |
$315.00 |
| 83014 |
|
37 |
32 |
$266.75 |
| 93000 |
|
21 |
16 |
$181.09 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
112 |
91 |
$138.48 |
| 90756 |
|
12 |
12 |
$113.95 |
| 92551 |
|
16 |
12 |
$77.24 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
13 |
$64.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
297 |
232 |
$60.11 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
36 |
$48.36 |
| 91300 |
|
58 |
49 |
$0.00 |
| 90682 |
|
20 |
19 |
$0.00 |