| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,384 |
9,557 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,019 |
9,928 |
$383K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,190 |
1,911 |
$74K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,889 |
1,708 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,241 |
1,517 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,697 |
1,501 |
$16K |
| 98926 |
|
642 |
480 |
$11K |
| 95117 |
|
615 |
195 |
$6K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,383 |
999 |
$5K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
223 |
187 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
59 |
49 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
31 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
58 |
$2K |
| 96127 |
|
379 |
248 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
51 |
$998.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$946.53 |
| 81003 |
|
889 |
715 |
$840.40 |
| 90688 |
|
145 |
118 |
$768.66 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
418 |
281 |
$639.39 |
| 99408 |
|
14 |
14 |
$200.16 |
| 99173 |
|
18 |
18 |
$104.19 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
12 |
$7.61 |
| 3078F |
|
124 |
91 |
$0.00 |
| 3008F |
|
212 |
156 |
$0.00 |
| 3074F |
|
38 |
27 |
$0.00 |
| 3044F |
|
54 |
42 |
$0.00 |