| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,834 |
6,743 |
$303K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,509 |
4,905 |
$267K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
65 |
65 |
$99K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
750 |
749 |
$93K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
453 |
449 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
480 |
474 |
$19K |
| 59425 |
|
36 |
36 |
$15K |
| 59426 |
|
20 |
20 |
$15K |
| 81002 |
|
4,652 |
3,088 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
461 |
427 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
309 |
302 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
204 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
33 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$880.87 |
| 80053 |
Comprehensive metabolic panel |
369 |
249 |
$619.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
65 |
$514.78 |
| 20610 |
|
12 |
12 |
$444.90 |
| 81025 |
|
37 |
37 |
$283.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
309 |
208 |
$262.00 |
| 87400 |
|
55 |
37 |
$237.22 |
| 36415 |
Collection of venous blood by venipuncture |
1,219 |
823 |
$218.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
44 |
25 |
$73.32 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$69.26 |
| 90686 |
|
15 |
12 |
$38.06 |
| 99000 |
|
41 |
28 |
$0.00 |