| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,802 |
7,147 |
$452K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,709 |
1,326 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,042 |
911 |
$65K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,478 |
1,169 |
$30K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
12 |
$20K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
402 |
380 |
$10K |
| 87428 |
|
296 |
284 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
494 |
419 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,364 |
983 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
510 |
451 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
106 |
96 |
$4K |
| 59426 |
|
89 |
78 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
40 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
58 |
55 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
49 |
26 |
$2K |
| 81002 |
|
741 |
639 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
45 |
$908.84 |
| 81025 |
|
441 |
347 |
$901.06 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
20 |
13 |
$751.83 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$700.00 |
| 87807 |
|
43 |
38 |
$429.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
14 |
$210.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
103 |
94 |
$139.76 |
| 85018 |
|
111 |
106 |
$57.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
218 |
199 |
$47.43 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
79 |
69 |
$46.19 |
| 81003 |
|
1,791 |
973 |
$0.00 |
| 99072 |
|
1,628 |
1,404 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$0.00 |
| 01960 |
|
14 |
14 |
$0.00 |