| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,680 |
14,798 |
$1.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,903 |
21,852 |
$1.42M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,423 |
6,241 |
$244K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,706 |
8,506 |
$236K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,570 |
1,570 |
$224K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,135 |
10,908 |
$155K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,055 |
1,055 |
$99K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,693 |
7,447 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,325 |
1,312 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
237 |
237 |
$14K |
| 86756 |
|
842 |
827 |
$11K |
| 87807 |
|
802 |
792 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
305 |
275 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
205 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
292 |
290 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
37 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 99307 |
|
290 |
276 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
713 |
708 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 86308 |
|
99 |
98 |
$505.98 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$495.12 |
| 92587 |
|
24 |
24 |
$399.74 |
| 96127 |
|
81 |
80 |
$358.20 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
28 |
27 |
$332.87 |
| 36415 |
Collection of venous blood by venipuncture |
120 |
118 |
$312.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
490 |
488 |
$231.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$220.08 |
| 81003 |
|
63 |
63 |
$94.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$14.80 |