| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,447 |
10,083 |
$706K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,720 |
9,283 |
$418K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,302 |
2,943 |
$305K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,654 |
3,635 |
$252K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,769 |
1,759 |
$176K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
574 |
139 |
$153K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,048 |
3,967 |
$128K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,340 |
4,272 |
$68K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,650 |
1,624 |
$63K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
114 |
112 |
$24K |
| 86769 |
|
460 |
444 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
384 |
335 |
$10K |
| 81002 |
|
2,730 |
2,679 |
$9K |
| 95117 |
|
311 |
181 |
$4K |
| 99000 |
|
1,680 |
1,652 |
$3K |
| 81025 |
|
361 |
356 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
20 |
$3K |
| 86580 |
|
202 |
155 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$874.84 |
| 90674 |
|
18 |
17 |
$277.45 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
12 |
12 |
$239.45 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
58 |
56 |
$124.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
29 |
26 |
$106.50 |
| 99072 |
|
2,137 |
2,087 |
$25.08 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
32 |
31 |
$1.92 |
| 90756 |
|
14 |
14 |
$0.00 |