| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,609 |
8,039 |
$510K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,848 |
3,378 |
$287K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
539 |
498 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,242 |
1,417 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,160 |
1,037 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
201 |
185 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,217 |
1,116 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
839 |
533 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,263 |
1,129 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
136 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
104 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
549 |
490 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
94 |
$4K |
| 3074F |
|
4,402 |
3,849 |
$2K |
| 87807 |
|
207 |
189 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
335 |
287 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 81003 |
|
268 |
250 |
$436.05 |
| 90670 |
|
53 |
43 |
$352.00 |
| 90686 |
|
52 |
52 |
$272.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
75 |
65 |
$171.90 |
| 81025 |
|
25 |
25 |
$115.65 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
63 |
56 |
$87.12 |
| 81002 |
|
48 |
43 |
$64.93 |
| 1220F |
|
2,597 |
2,328 |
$0.00 |
| 1126F |
|
911 |
832 |
$0.00 |
| 3079F |
|
490 |
424 |
$0.00 |
| 3075F |
|
111 |
104 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 1125F |
|
607 |
552 |
$0.00 |
| 3078F |
|
4,255 |
3,693 |
$0.00 |
| 1160F |
|
2,653 |
2,361 |
$0.00 |
| 1159F |
|
2,652 |
2,365 |
$0.00 |
| 3077F |
|
71 |
57 |
$0.00 |
| 90710 |
|
14 |
12 |
$0.00 |
| 3288F |
|
16 |
15 |
$0.00 |