| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,268 |
2,921 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,382 |
3,853 |
$175K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,795 |
1,512 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
661 |
612 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,246 |
1,125 |
$35K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
86 |
84 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,000 |
474 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,247 |
1,037 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
147 |
139 |
$6K |
| 99382 |
|
22 |
21 |
$1K |
| 81002 |
|
1,013 |
932 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
837 |
777 |
$1K |
| 99201 |
|
29 |
26 |
$640.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
49 |
$488.37 |
| 82962 |
|
745 |
614 |
$449.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
32 |
$424.76 |
| 83655 |
|
39 |
39 |
$366.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
313 |
278 |
$350.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
32 |
$302.78 |
| 90688 |
|
53 |
45 |
$228.82 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
71 |
60 |
$215.20 |
| 90686 |
|
28 |
23 |
$188.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
652 |
559 |
$164.81 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
12 |
$157.62 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
25 |
25 |
$107.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
285 |
241 |
$104.74 |
| 81025 |
|
12 |
12 |
$60.69 |
| 86580 |
|
18 |
18 |
$30.45 |
| 99001 |
|
211 |
185 |
$5.70 |
| 99000 |
|
708 |
576 |
$0.00 |
| 36416 |
|
47 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |