| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,119 |
4,196 |
$168K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,770 |
1,236 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,356 |
1,061 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,030 |
1,325 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,354 |
596 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
411 |
313 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
551 |
395 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
384 |
320 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
280 |
167 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
26 |
$1K |
| 90686 |
|
139 |
81 |
$856.26 |
| 90674 |
|
53 |
45 |
$778.12 |
| 36415 |
Collection of venous blood by venipuncture |
885 |
569 |
$722.24 |
| 80305 |
|
518 |
237 |
$616.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,185 |
844 |
$377.37 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
541 |
400 |
$292.70 |
| 93000 |
|
19 |
13 |
$107.97 |
| 99173 |
|
48 |
25 |
$90.86 |
| 90688 |
|
30 |
20 |
$80.95 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
72 |
53 |
$66.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20 |
18 |
$23.14 |
| 81003 |
|
16 |
12 |
$17.60 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
61 |
41 |
$1.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
31 |
$0.00 |