| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,697 |
4,109 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,975 |
2,630 |
$115K |
| 92552 |
|
1,659 |
1,497 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
89 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
417 |
388 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
88 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
60 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
72 |
66 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,135 |
1,918 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
106 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
38 |
$1K |
| 90682 |
|
72 |
67 |
$1K |
| 81002 |
|
891 |
635 |
$1K |
| 85018 |
|
788 |
581 |
$1K |
| 87428 |
|
48 |
45 |
$999.29 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
886 |
653 |
$924.96 |
| 99173 |
|
739 |
627 |
$916.36 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$903.83 |
| 82962 |
|
474 |
399 |
$595.36 |
| 90688 |
|
77 |
62 |
$465.49 |
| 90686 |
|
77 |
74 |
$300.35 |
| 99408 |
|
15 |
15 |
$243.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
251 |
241 |
$89.65 |
| 96127 |
|
118 |
110 |
$70.00 |
| G0008 |
Administration of influenza virus vaccine |
104 |
87 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |