| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,895 |
6,978 |
$464K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,214 |
2,578 |
$126K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
486 |
335 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
102 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,163 |
1,494 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
31 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,046 |
3,359 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
345 |
320 |
$966.27 |
| 99441 |
|
40 |
35 |
$736.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,683 |
1,365 |
$444.41 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$352.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,592 |
1,389 |
$343.27 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,272 |
2,651 |
$238.51 |
| 81002 |
|
2,245 |
1,906 |
$215.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,109 |
929 |
$198.61 |
| 90756 |
|
32 |
31 |
$167.46 |
| 81025 |
|
1,023 |
869 |
$101.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
24 |
$57.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
354 |
312 |
$1.08 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
231 |
211 |
$0.00 |
| 90461 |
|
103 |
93 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 82962 |
|
408 |
351 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
12 |
$0.00 |