| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,693 |
2,416 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
242 |
212 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
587 |
449 |
$5K |
| 87428 |
|
58 |
50 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
301 |
124 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
89 |
75 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
97 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
285 |
275 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
537 |
484 |
$619.03 |
| 80061 |
Lipid panel |
135 |
133 |
$441.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
29 |
$398.08 |
| 81003 |
|
201 |
194 |
$152.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
60 |
43 |
$48.37 |
| 83037 |
|
40 |
38 |
$43.70 |
| 90686 |
|
22 |
14 |
$17.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
27 |
$7.49 |
| 82043 |
|
13 |
12 |
$5.20 |