| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,006 |
9,867 |
$637K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,817 |
5,032 |
$399K |
| 87428 |
|
945 |
874 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,253 |
1,824 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,886 |
847 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
570 |
527 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
151 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
719 |
658 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
99 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
4,154 |
3,743 |
$8K |
| 87430 |
|
578 |
543 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
50 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
47 |
$4K |
| 81003 |
|
1,631 |
1,456 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
37 |
32 |
$946.22 |
| 90686 |
|
50 |
48 |
$626.11 |
| 87420 |
|
58 |
49 |
$564.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
648 |
589 |
$485.48 |
| 90651 |
|
27 |
27 |
$439.65 |
| 90688 |
|
39 |
30 |
$340.78 |
| 90715 |
|
12 |
12 |
$284.00 |
| 99173 |
|
113 |
110 |
$271.37 |
| 90619 |
|
12 |
12 |
$235.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
121 |
97 |
$191.10 |
| 90716 |
|
19 |
14 |
$155.65 |
| 90633 |
|
12 |
12 |
$153.20 |
| 87807 |
|
14 |
13 |
$144.12 |
| 90707 |
|
17 |
12 |
$133.65 |
| 92551 |
|
13 |
13 |
$119.36 |
| 96127 |
|
25 |
24 |
$115.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
16 |
$56.74 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
25 |
$43.98 |
| 36416 |
|
17 |
14 |
$7.30 |