| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,637 |
17,485 |
$1.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,453 |
14,495 |
$1.10M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,148 |
3,669 |
$264K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,468 |
2,187 |
$185K |
| 99051 |
|
15,268 |
13,400 |
$179K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,589 |
2,256 |
$170K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,236 |
4,614 |
$52K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,650 |
1,459 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
223 |
220 |
$18K |
| T1015 |
Clinic visit/encounter, all-inclusive |
397 |
254 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,495 |
3,971 |
$14K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,139 |
977 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
25 |
$2K |
| 1159F |
|
7,115 |
6,370 |
$780.61 |
| 87428 |
|
93 |
83 |
$525.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
145 |
$460.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
106 |
$382.21 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
231 |
184 |
$313.83 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
40 |
31 |
$221.66 |
| J3490 |
Unclassified drugs |
66 |
49 |
$199.96 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
108 |
97 |
$120.00 |
| 36415 |
Collection of venous blood by venipuncture |
535 |
465 |
$115.67 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
16 |
$90.94 |
| 81025 |
|
66 |
55 |
$42.12 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
83 |
69 |
$41.56 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
38 |
32 |
$32.74 |
| 81002 |
|
12 |
12 |
$22.11 |
| 3044F |
|
137 |
122 |
$0.00 |
| 3079F |
|
1,022 |
915 |
$0.00 |
| 3074F |
|
1,880 |
1,659 |
$0.00 |
| 3075F |
|
413 |
391 |
$0.00 |
| 3008F |
|
2,912 |
2,529 |
$0.00 |
| 3080F |
|
310 |
287 |
$0.00 |
| 92551 |
|
72 |
69 |
$0.00 |
| 4010F |
|
103 |
91 |
$0.00 |
| 3078F |
|
1,367 |
1,224 |
$0.00 |
| 1160F |
|
4,542 |
4,153 |
$0.00 |
| 3077F |
|
397 |
351 |
$0.00 |
| 90715 |
|
38 |
36 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58 |
56 |
$0.00 |
| 90734 |
|
15 |
14 |
$0.00 |
| 99173 |
|
76 |
73 |
$0.00 |