| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,317 |
7,693 |
$600K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,556 |
3,842 |
$158K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
917 |
760 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
416 |
340 |
$30K |
| 99401 |
|
1,372 |
1,112 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,639 |
1,177 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
378 |
331 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,622 |
599 |
$20K |
| 93000 |
|
921 |
735 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
514 |
344 |
$16K |
| 96160 |
|
1,630 |
1,323 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
180 |
148 |
$14K |
| 96127 |
|
1,410 |
1,185 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
596 |
485 |
$5K |
| 81025 |
|
1,085 |
875 |
$5K |
| 81002 |
|
2,008 |
1,564 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
161 |
79 |
$3K |
| 90674 |
|
138 |
115 |
$3K |
| 82947 |
|
645 |
409 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
178 |
146 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
521 |
437 |
$800.59 |
| 94760 |
|
487 |
406 |
$515.78 |
| 90686 |
|
21 |
18 |
$428.21 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$334.80 |
| 82950 |
|
82 |
65 |
$270.46 |
| 99173 |
|
42 |
38 |
$234.90 |
| 80305 |
|
14 |
12 |
$103.76 |
| 99406 |
|
19 |
14 |
$88.13 |
| 82948 |
|
35 |
27 |
$65.66 |
| 3008F |
|
13,130 |
9,499 |
$58.24 |
| 3079F |
|
5,627 |
4,259 |
$10.00 |
| 3080F |
|
1,157 |
822 |
$0.00 |
| 3074F |
|
11,502 |
8,418 |
$0.00 |
| 3075F |
|
1,378 |
1,061 |
$0.00 |
| 3014F |
|
17 |
15 |
$0.00 |
| 3017F |
|
38 |
32 |
$0.00 |
| 3078F |
|
7,133 |
5,386 |
$0.00 |
| 3077F |
|
643 |
456 |
$0.00 |