| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,310 |
7,379 |
$284K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,343 |
2,119 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,659 |
1,540 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
639 |
625 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,386 |
1,204 |
$8K |
| 86328 |
|
161 |
155 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
358 |
338 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
214 |
205 |
$2K |
| 90746 |
|
29 |
29 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
208 |
200 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
430 |
369 |
$655.85 |
| 90688 |
|
25 |
24 |
$494.00 |
| 99385 |
|
12 |
12 |
$474.60 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$440.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
489 |
427 |
$364.58 |
| 90686 |
|
14 |
14 |
$200.54 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$173.90 |
| 99401 |
|
13 |
13 |
$90.04 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
18 |
$55.62 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
41 |
40 |
$39.24 |
| 91300 |
|
39 |
39 |
$9.00 |
| 99072 |
|
69 |
66 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 3074F |
|
22 |
22 |
$0.00 |