| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,466 |
8,070 |
$507K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,713 |
4,902 |
$307K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,945 |
4,347 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
287 |
248 |
$9K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,048 |
1,468 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
129 |
122 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
71 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
43 |
$3K |
| 92552 |
|
84 |
74 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 90756 |
|
111 |
90 |
$1K |
| 99173 |
|
339 |
304 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,331 |
2,718 |
$948.09 |
| 81003 |
|
788 |
593 |
$872.63 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
292 |
260 |
$858.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$840.00 |
| 92551 |
|
237 |
221 |
$831.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,077 |
771 |
$593.13 |
| 90686 |
|
33 |
28 |
$469.64 |
| 36415 |
Collection of venous blood by venipuncture |
781 |
503 |
$383.20 |
| 90461 |
|
70 |
64 |
$338.00 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
198 |
169 |
$259.41 |
| 93000 |
|
17 |
17 |
$256.38 |
| 87420 |
|
19 |
17 |
$224.00 |
| 90661 |
|
19 |
18 |
$186.98 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
14 |
$75.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
26 |
$60.00 |
| 3078F |
|
1,159 |
947 |
$0.00 |
| 3077F |
|
136 |
121 |
$0.00 |
| 3079F |
|
1,054 |
845 |
$0.00 |
| 3074F |
|
1,599 |
1,268 |
$0.00 |
| 3075F |
|
197 |
170 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
38 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
141 |
89 |
$0.00 |
| 99172 |
|
107 |
97 |
$0.00 |