| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,423 |
9,151 |
$763K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,147 |
6,435 |
$658K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,487 |
1,335 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,018 |
1,794 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
571 |
557 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
969 |
790 |
$12K |
| 90670 |
|
1,329 |
1,249 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
322 |
210 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
56 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
202 |
150 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
14 |
$892.16 |
| 90648 |
|
1,361 |
1,279 |
$675.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
27 |
$423.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
341 |
292 |
$409.80 |
| 90686 |
|
88 |
84 |
$327.45 |
| 90677 |
|
19 |
19 |
$283.72 |
| 87070 |
|
18 |
13 |
$158.32 |
| 90633 |
|
54 |
52 |
$156.00 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
24 |
$87.60 |
| 90723 |
|
652 |
617 |
$0.10 |
| 90681 |
|
172 |
167 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |