| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,743 |
5,487 |
$407K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,779 |
2,283 |
$99K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,019 |
1,684 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
595 |
474 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,166 |
988 |
$41K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
923 |
622 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,916 |
1,003 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,700 |
1,469 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
191 |
73 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
291 |
191 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
130 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
26 |
$2K |
| 96160 |
|
221 |
186 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,072 |
832 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
76 |
$1K |
| 92552 |
|
67 |
57 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
81 |
34 |
$900.12 |
| 81003 |
|
467 |
379 |
$782.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
529 |
349 |
$658.75 |
| 96127 |
|
153 |
133 |
$594.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
779 |
596 |
$454.95 |
| 99173 |
|
80 |
69 |
$438.53 |
| 87807 |
|
43 |
40 |
$405.40 |
| 81002 |
|
42 |
32 |
$70.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
13 |
$20.76 |