| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,378 |
5,682 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
731 |
613 |
$33K |
| 87428 |
|
544 |
479 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,019 |
703 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
437 |
208 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
957 |
719 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
441 |
352 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
188 |
161 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
75 |
65 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
48 |
46 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
24 |
$841.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
235 |
191 |
$743.91 |
| 87430 |
|
109 |
94 |
$686.98 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$665.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
55 |
$486.72 |
| 90461 |
|
24 |
24 |
$325.36 |
| 99307 |
|
15 |
15 |
$306.00 |
| 90756 |
|
33 |
13 |
$215.36 |
| 97597 |
|
29 |
13 |
$201.01 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
14 |
$174.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
295 |
228 |
$160.87 |
| 99442 |
|
22 |
12 |
$154.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
73 |
65 |
$103.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
26 |
14 |
$64.13 |
| 81002 |
|
14 |
13 |
$11.87 |
| 3074F |
|
802 |
670 |
$1.68 |
| 3008F |
|
1,507 |
1,271 |
$1.60 |
| 3078F |
|
723 |
607 |
$1.47 |
| 3079F |
|
279 |
253 |
$0.77 |
| 3077F |
|
181 |
158 |
$0.60 |
| 1160F |
|
1,065 |
874 |
$0.40 |
| 1159F |
|
1,066 |
874 |
$0.40 |
| 3075F |
|
81 |
75 |
$0.25 |
| 3080F |
|
86 |
74 |
$0.21 |
| 1036F |
|
600 |
478 |
$0.18 |
| 1034F |
|
525 |
420 |
$0.02 |
| 99000 |
|
48 |
39 |
$0.00 |
| 3725F |
|
198 |
180 |
$0.00 |