| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,473 |
30,313 |
$1.02M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,410 |
10,296 |
$247K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,281 |
8,556 |
$118K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,922 |
2,651 |
$101K |
| 85027 |
|
11,522 |
10,439 |
$59K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,726 |
1,655 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
5,237 |
4,689 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
821 |
391 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
270 |
265 |
$10K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,705 |
2,227 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
147 |
$8K |
| 87430 |
|
352 |
334 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,185 |
5,444 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
461 |
412 |
$3K |
| 81001 |
|
1,142 |
1,046 |
$2K |
| 99201 |
|
16 |
15 |
$1K |
| 90674 |
|
65 |
61 |
$920.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
139 |
132 |
$833.71 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
144 |
131 |
$772.40 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
36 |
26 |
$604.11 |
| 90688 |
|
25 |
25 |
$349.14 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
45 |
43 |
$275.57 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
31 |
27 |
$238.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$140.40 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
12 |
12 |
$50.98 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
210 |
198 |
$40.01 |
| 1125F |
|
29 |
29 |
$0.09 |
| 3074F |
|
139 |
132 |
$0.00 |
| 3077F |
|
107 |
95 |
$0.00 |
| 3078F |
|
238 |
226 |
$0.00 |