| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,646 |
6,128 |
$477K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,889 |
3,146 |
$171K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,162 |
1,024 |
$72K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,353 |
2,022 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,674 |
2,801 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,729 |
3,124 |
$40K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
919 |
807 |
$33K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,233 |
1,083 |
$32K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
550 |
471 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
29 |
$3K |
| 87428 |
|
70 |
62 |
$3K |
| 99051 |
|
187 |
157 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
842 |
695 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
953 |
759 |
$1K |
| 81003 |
|
795 |
655 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
76 |
$959.22 |
| 94375 |
|
53 |
49 |
$929.88 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$847.59 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
81 |
73 |
$719.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
616 |
535 |
$702.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,507 |
1,252 |
$634.41 |
| 94690 |
|
33 |
30 |
$629.50 |
| 92551 |
|
97 |
84 |
$564.66 |
| 87807 |
|
54 |
53 |
$547.67 |
| 94200 |
|
51 |
47 |
$480.61 |
| 0001A |
|
15 |
13 |
$434.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
788 |
661 |
$397.14 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
43 |
39 |
$288.71 |
| 96127 |
|
90 |
88 |
$256.75 |
| 82947 |
|
72 |
65 |
$153.48 |
| 85018 |
|
108 |
96 |
$152.09 |
| 99173 |
|
85 |
73 |
$131.97 |
| 93000 |
|
16 |
13 |
$126.81 |
| 86308 |
|
27 |
21 |
$115.90 |
| 90686 |
|
14 |
14 |
$83.93 |
| 96160 |
|
15 |
15 |
$29.07 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
2,292 |
1,535 |
$14.02 |
| 94760 |
|
116 |
91 |
$10.25 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
29 |
28 |
$0.80 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
18 |
12 |
$0.00 |
| 91300 |
|
19 |
13 |
$0.00 |
| 36416 |
|
134 |
112 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
207 |
141 |
$0.00 |