| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,392 |
7,369 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,120 |
3,005 |
$74K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
233 |
132 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,775 |
1,080 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
688 |
482 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
539 |
333 |
$5K |
| 90674 |
|
178 |
106 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
37 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,135 |
749 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
471 |
288 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
374 |
234 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
83 |
$1K |
| 81003 |
|
709 |
436 |
$643.92 |
| 80305 |
|
75 |
48 |
$251.80 |
| 90756 |
|
55 |
40 |
$223.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
176 |
108 |
$209.08 |
| G0008 |
Administration of influenza virus vaccine |
224 |
126 |
$158.55 |
| 71046 |
Radiologic examination, chest; 2 views |
33 |
16 |
$122.79 |
| 83037 |
|
31 |
14 |
$60.67 |
| 90694 |
|
95 |
53 |
$2.14 |
| 1160F |
|
1,888 |
1,047 |
$0.05 |
| 3074F |
|
1,339 |
761 |
$0.03 |
| 99499 |
|
87 |
69 |
$0.02 |
| 1159F |
|
613 |
316 |
$0.02 |
| 3077F |
|
299 |
162 |
$0.02 |
| 1125F |
|
1,722 |
956 |
$0.02 |
| 1126F |
|
489 |
266 |
$0.02 |
| 3044F |
|
222 |
125 |
$0.01 |
| 1170F |
|
172 |
107 |
$0.01 |
| 3078F |
|
795 |
466 |
$0.00 |
| 3075F |
|
468 |
275 |
$0.00 |
| 3079F |
|
19 |
17 |
$0.00 |