| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,813 |
4,109 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,292 |
1,946 |
$82K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
697 |
479 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
90 |
70 |
$2K |
| 90756 |
|
138 |
127 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
76 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$1K |
| 0011A |
|
16 |
16 |
$573.92 |
| 0012A |
|
16 |
16 |
$573.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
39 |
$401.24 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
51 |
$57.15 |
| 90661 |
|
14 |
14 |
$44.58 |
| 81003 |
|
28 |
28 |
$28.46 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
25 |
15 |
$20.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
65 |
27 |
$13.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$0.84 |
| 3078F |
|
2,057 |
1,726 |
$0.19 |
| 3008F |
|
3,944 |
3,179 |
$0.00 |
| 3079F |
|
1,483 |
1,176 |
$0.00 |
| 1036F |
|
3,968 |
3,158 |
$0.00 |
| 3074F |
|
1,893 |
1,579 |
$0.00 |
| 1034F |
|
79 |
67 |
$0.00 |
| 3075F |
|
664 |
488 |
$0.00 |
| 3080F |
|
54 |
38 |
$0.00 |
| 3077F |
|
860 |
680 |
$0.00 |
| 1160F |
|
3,689 |
2,891 |
$0.00 |