| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,772 |
7,562 |
$569K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,469 |
3,428 |
$350K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,102 |
1,098 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,676 |
1,669 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
829 |
823 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
268 |
266 |
$12K |
| 99215 |
Prolong outpt/office vis |
66 |
66 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 87807 |
|
52 |
52 |
$570.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
32 |
$434.87 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$135.72 |
| 90686 |
|
13 |
13 |
$11.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$6.76 |
| 90670 |
|
12 |
12 |
$0.00 |