| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,556 |
11,966 |
$470K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,162 |
7,266 |
$238K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,118 |
1,028 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,304 |
2,678 |
$26K |
| 99215 |
Prolong outpt/office vis |
767 |
690 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,396 |
660 |
$12K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
110 |
101 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
639 |
603 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
110 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,227 |
1,047 |
$970.25 |
| 96127 |
|
103 |
86 |
$417.01 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
470 |
408 |
$415.26 |
| 90756 |
|
28 |
26 |
$415.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$403.67 |
| 90674 |
|
36 |
35 |
$383.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,326 |
1,167 |
$167.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$111.25 |
| 3074F |
|
317 |
288 |
$100.00 |
| 81003 |
|
65 |
54 |
$71.54 |
| 99173 |
|
13 |
12 |
$68.82 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
121 |
111 |
$41.26 |
| 3078F |
|
169 |
153 |
$40.00 |
| 3079F |
|
200 |
185 |
$30.00 |
| 3080F |
|
115 |
98 |
$20.00 |
| 3077F |
|
223 |
184 |
$20.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
42 |
40 |
$12.91 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 1160F |
|
27 |
27 |
$0.00 |
| 99499 |
|
372 |
183 |
$0.00 |