| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,116 |
2,526 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,075 |
3,241 |
$189K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
295 |
246 |
$26K |
| 99215 |
Prolong outpt/office vis |
110 |
99 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
844 |
642 |
$7K |
| 99384 |
|
72 |
66 |
$7K |
| 92551 |
|
490 |
459 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,216 |
1,078 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
93 |
$3K |
| 81002 |
|
1,164 |
1,058 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
81 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
45 |
45 |
$1K |
| 99383 |
|
13 |
12 |
$937.79 |
| 81025 |
|
169 |
139 |
$897.88 |
| 85018 |
|
546 |
504 |
$718.15 |
| 99173 |
|
242 |
240 |
$500.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$426.34 |
| 96160 |
|
184 |
166 |
$404.23 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
148 |
133 |
$191.87 |
| 90686 |
|
17 |
17 |
$175.10 |
| 82962 |
|
18 |
17 |
$41.82 |
| 82948 |
|
16 |
14 |
$28.01 |
| 81001 |
|
17 |
12 |
$21.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$8.15 |