| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,617 |
3,634 |
$152K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,996 |
1,238 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
184 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
173 |
146 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
528 |
230 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
69 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
282 |
252 |
$657.93 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
189 |
154 |
$327.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
14 |
$283.05 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
22 |
21 |
$232.11 |
| G0008 |
Administration of influenza virus vaccine |
98 |
80 |
$194.46 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
127 |
87 |
$155.30 |
| 90686 |
|
15 |
12 |
$143.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
665 |
525 |
$101.39 |