| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,317 |
8,404 |
$345K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
796 |
611 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,181 |
1,621 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
253 |
225 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
105 |
96 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
277 |
193 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,845 |
1,460 |
$2K |
| 96160 |
|
217 |
194 |
$2K |
| 99406 |
|
269 |
222 |
$2K |
| 92551 |
|
334 |
239 |
$2K |
| 90756 |
|
83 |
61 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
88 |
60 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
172 |
140 |
$1K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
359 |
320 |
$1K |
| 99173 |
|
344 |
248 |
$1K |
| 81003 |
|
1,124 |
900 |
$981.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
114 |
87 |
$603.32 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
23 |
17 |
$477.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
45 |
$405.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
14 |
$321.15 |
| 90674 |
|
28 |
26 |
$259.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
26 |
$196.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
240 |
178 |
$177.39 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
56 |
52 |
$154.24 |
| 96127 |
|
45 |
35 |
$125.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
719 |
577 |
$113.06 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
71 |
59 |
$57.35 |
| J0698 |
Injection, cefotaxime sodium, per gm |
30 |
25 |
$52.18 |
| 3080F |
|
26 |
15 |
$50.00 |
| 3074F |
|
27 |
16 |
$50.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
19 |
12 |
$24.82 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
20 |
13 |
$7.45 |
| 99000 |
|
600 |
469 |
$0.00 |