| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,141 |
9,523 |
$553K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,949 |
5,961 |
$271K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
800 |
638 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,048 |
2,346 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
198 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
822 |
778 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
72 |
$5K |
| 92551 |
|
644 |
584 |
$4K |
| 81002 |
|
2,444 |
2,191 |
$4K |
| 82962 |
|
3,247 |
2,802 |
$4K |
| 99401 |
|
304 |
279 |
$4K |
| 90756 |
|
196 |
193 |
$2K |
| 85018 |
|
2,270 |
1,999 |
$2K |
| 90686 |
|
348 |
332 |
$2K |
| 0001A |
|
70 |
67 |
$2K |
| 81025 |
|
290 |
274 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
46 |
$2K |
| 0002A |
|
47 |
46 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
964 |
872 |
$768.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
92 |
$740.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
672 |
620 |
$696.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
188 |
165 |
$682.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
60 |
$599.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
906 |
841 |
$381.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$329.64 |
| 99173 |
|
219 |
204 |
$152.60 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
156 |
146 |
$113.42 |
| 83037 |
|
15 |
15 |
$50.68 |
| 90651 |
|
12 |
12 |
$0.05 |
| 90715 |
|
14 |
13 |
$0.01 |
| G0008 |
Administration of influenza virus vaccine |
125 |
125 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
31 |
31 |
$0.00 |
| 91300 |
|
195 |
173 |
$0.00 |
| 90734 |
|
31 |
30 |
$0.00 |