| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,380 |
4,509 |
$204K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,833 |
4,000 |
$131K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,978 |
1,289 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
144 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
53 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,387 |
2,056 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
152 |
95 |
$1K |
| 93000 |
|
141 |
113 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
65 |
$1K |
| 87428 |
|
18 |
16 |
$770.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
69 |
$692.43 |
| 81002 |
|
452 |
370 |
$537.08 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
12 |
$455.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
33 |
$449.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
25 |
$319.08 |
| 90756 |
|
31 |
26 |
$281.27 |
| 80305 |
|
70 |
52 |
$205.12 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
30 |
26 |
$126.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
140 |
125 |
$82.02 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
63 |
53 |
$70.84 |
| 96127 |
|
14 |
12 |
$53.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$17.20 |
| 1160F |
|
84 |
68 |
$0.00 |
| 1159F |
|
84 |
68 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
20 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |