| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,189 |
1,867 |
$78K |
| 99215 |
Prolong outpt/office vis |
2,434 |
2,036 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,029 |
5,812 |
$63K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
551 |
510 |
$11K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
757 |
699 |
$8K |
| 99205 |
Prolong outpt/office vis |
158 |
157 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
187 |
175 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
191 |
184 |
$4K |
| 99402 |
|
91 |
84 |
$3K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
32 |
30 |
$2K |
| 99386 |
|
67 |
67 |
$2K |
| 94060 |
|
39 |
37 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
172 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
324 |
203 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
76 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$947.19 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
185 |
178 |
$926.87 |
| 82948 |
|
314 |
266 |
$847.09 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
15 |
$529.09 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$500.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
66 |
$482.31 |
| 90674 |
|
14 |
14 |
$341.74 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
33 |
13 |
$156.31 |
| 80305 |
|
13 |
13 |
$121.96 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$119.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$116.68 |
| 81000 |
|
13 |
12 |
$33.54 |
| 99385 |
|
15 |
15 |
$0.00 |