| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,290 |
4,048 |
$245K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,126 |
5,795 |
$245K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
662 |
468 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
638 |
552 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,125 |
1,567 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,065 |
943 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,807 |
909 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,799 |
1,497 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,888 |
2,327 |
$16K |
| 92552 |
|
856 |
754 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
152 |
$10K |
| 96160 |
|
361 |
312 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
450 |
389 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
128 |
116 |
$5K |
| 87430 |
|
692 |
480 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
255 |
228 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,283 |
1,807 |
$3K |
| 99173 |
|
733 |
654 |
$3K |
| 81025 |
|
650 |
544 |
$3K |
| 96161 |
|
273 |
252 |
$3K |
| 36416 |
|
1,948 |
1,645 |
$2K |
| 99384 |
|
30 |
27 |
$2K |
| 99383 |
|
30 |
29 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
218 |
168 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
19 |
$2K |
| 96127 |
|
373 |
320 |
$2K |
| 80305 |
|
330 |
253 |
$2K |
| 81003 |
|
1,130 |
931 |
$2K |
| 93000 |
|
112 |
82 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
16 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
210 |
181 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
509 |
352 |
$894.98 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
17 |
$874.18 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$854.63 |
| 3008F |
|
1,439 |
1,193 |
$470.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
329 |
243 |
$463.94 |
| 99201 |
|
17 |
15 |
$382.57 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
20 |
12 |
$266.20 |
| 90756 |
|
17 |
17 |
$252.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
696 |
556 |
$229.38 |
| 3079F |
|
288 |
233 |
$160.00 |
| 87807 |
|
12 |
12 |
$140.71 |
| 1159F |
|
73 |
68 |
$120.00 |
| 1160F |
|
73 |
68 |
$120.00 |
| 3074F |
|
734 |
602 |
$110.00 |
| 3077F |
|
70 |
58 |
$90.00 |
| 3080F |
|
77 |
65 |
$80.00 |
| 3078F |
|
627 |
524 |
$70.00 |
| 3075F |
|
143 |
116 |
$30.00 |
| 99000 |
|
174 |
153 |
$0.00 |
| 3044F |
|
33 |
31 |
$0.00 |