| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,536 |
2,860 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,542 |
1,349 |
$108K |
| 99442 |
|
547 |
515 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
349 |
348 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
219 |
217 |
$26K |
| 99443 |
|
174 |
161 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
828 |
661 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,446 |
1,393 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
214 |
206 |
$7K |
| 99205 |
Prolong outpt/office vis |
58 |
58 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
354 |
311 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
444 |
217 |
$6K |
| 99441 |
|
116 |
114 |
$5K |
| 99215 |
Prolong outpt/office vis |
28 |
24 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
112 |
109 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
81 |
73 |
$2K |
| 90674 |
|
47 |
45 |
$1K |
| 90656 |
|
61 |
61 |
$1K |
| 80305 |
|
111 |
75 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
386 |
315 |
$917.58 |
| 96127 |
|
310 |
308 |
$910.28 |
| 92250 |
|
38 |
38 |
$884.09 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
149 |
136 |
$539.65 |
| 99358 |
Prolong nursin fac eval 15m |
19 |
19 |
$396.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$334.60 |
| 82043 |
|
48 |
47 |
$233.43 |
| 82570 |
|
48 |
47 |
$200.68 |
| 81001 |
|
62 |
60 |
$85.04 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
41 |
37 |
$44.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
22 |
20 |
$35.11 |
| 81000 |
|
14 |
13 |
$26.81 |
| 1159F |
|
42 |
42 |
$0.00 |
| 1160F |
|
42 |
42 |
$0.00 |
| 3078F |
|
30 |
30 |
$0.00 |
| 3044F |
|
74 |
74 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 3074F |
|
39 |
39 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 3079F |
|
18 |
18 |
$0.00 |
| 2023F |
|
32 |
32 |
$0.00 |