| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,971 |
10,870 |
$352K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,894 |
2,715 |
$46K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
532 |
495 |
$15K |
| 80305 |
|
3,172 |
2,311 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
742 |
434 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
134 |
118 |
$5K |
| 82962 |
|
4,108 |
2,785 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
302 |
$3K |
| 81002 |
|
1,090 |
827 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
226 |
182 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,060 |
932 |
$1K |
| 90756 |
|
225 |
146 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
12 |
$601.20 |
| 86328 |
|
18 |
14 |
$587.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,293 |
931 |
$581.14 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
13 |
$475.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,838 |
1,525 |
$388.67 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
601 |
456 |
$354.37 |
| 71046 |
Radiologic examination, chest; 2 views |
35 |
25 |
$277.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
39 |
$229.87 |
| 90688 |
|
25 |
19 |
$184.94 |
| 99457 |
|
24 |
24 |
$141.69 |
| 99454 |
|
28 |
28 |
$114.44 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
214 |
164 |
$79.70 |
| 3077F |
|
55 |
39 |
$20.00 |
| 3079F |
|
19 |
13 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
70 |
47 |
$0.27 |