| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,692 |
2,124 |
$126K |
| 87428 |
|
2,067 |
1,611 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,659 |
2,697 |
$100K |
| 87430 |
|
1,911 |
1,484 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
302 |
235 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
138 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
217 |
162 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
382 |
294 |
$6K |
| 87807 |
|
296 |
236 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
349 |
266 |
$2K |
| 87400 |
|
287 |
113 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
209 |
175 |
$1K |
| 85027 |
|
218 |
179 |
$838.20 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
16 |
$491.82 |
| 74018 |
|
15 |
12 |
$376.08 |
| 81025 |
|
74 |
56 |
$367.89 |
| 96127 |
|
305 |
249 |
$354.84 |
| 36415 |
Collection of venous blood by venipuncture |
510 |
419 |
$340.84 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
151 |
126 |
$233.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
12 |
$229.46 |
| 99188 |
|
18 |
14 |
$229.40 |
| 99173 |
|
15 |
12 |
$221.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
29 |
$176.28 |
| 81003 |
|
355 |
283 |
$108.80 |
| 3074F |
|
3,888 |
2,748 |
$20.00 |
| 3078F |
|
3,481 |
2,505 |
$20.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
124 |
69 |
$11.05 |
| 3080F |
|
176 |
127 |
$10.00 |
| 3077F |
|
414 |
307 |
$10.00 |
| 1036F |
|
3,056 |
2,011 |
$0.00 |
| 3008F |
|
4,972 |
3,543 |
$0.00 |
| 1034F |
|
458 |
318 |
$0.00 |
| 3075F |
|
465 |
382 |
$0.00 |
| 99000 |
|
666 |
517 |
$0.00 |
| 3079F |
|
1,209 |
936 |
$0.00 |
| 1035F |
|
54 |
39 |
$0.00 |
| 1159F |
|
4,814 |
3,191 |
$0.00 |
| 1160F |
|
4,813 |
3,192 |
$0.00 |
| 3725F |
|
335 |
274 |
$0.00 |