| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,750 |
1,559 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,679 |
1,381 |
$50K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,810 |
1,634 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
392 |
343 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
134 |
$7K |
| 85027 |
|
1,134 |
1,005 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
395 |
356 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
655 |
599 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
61 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
64 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,810 |
1,362 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
330 |
265 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$1K |
| 81003 |
|
526 |
470 |
$840.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
76 |
$540.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$466.39 |
| 82274 |
|
42 |
40 |
$377.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
155 |
123 |
$250.97 |
| 86677 |
|
85 |
73 |
$127.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
330 |
265 |
$89.82 |
| 82043 |
|
15 |
14 |
$48.60 |
| 36415 |
Collection of venous blood by venipuncture |
844 |
775 |
$26.25 |
| 90756 |
|
14 |
14 |
$25.19 |
| 36416 |
|
967 |
836 |
$0.00 |
| 82962 |
|
406 |
331 |
$0.00 |
| 99051 |
|
749 |
637 |
$0.00 |