| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,711 |
8,412 |
$608K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,058 |
9,871 |
$535K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,819 |
4,962 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
518 |
463 |
$53K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,057 |
1,639 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
653 |
548 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,126 |
1,404 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
940 |
714 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,443 |
2,784 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
396 |
326 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
645 |
593 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
4,244 |
3,380 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
419 |
318 |
$5K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
20 |
18 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,795 |
1,400 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,639 |
1,387 |
$2K |
| 80305 |
|
209 |
204 |
$2K |
| 94690 |
|
51 |
45 |
$1K |
| 86328 |
|
47 |
26 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,351 |
2,805 |
$1K |
| 94375 |
|
51 |
45 |
$966.96 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
726 |
451 |
$786.34 |
| 81003 |
|
532 |
441 |
$744.52 |
| 94200 |
|
51 |
45 |
$543.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
70 |
$471.93 |
| 90756 |
|
23 |
17 |
$286.11 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$192.11 |
| 90715 |
|
54 |
37 |
$169.58 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
39 |
32 |
$1.15 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
1,072 |
669 |
$0.26 |
| 99000 |
|
925 |
763 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
1,068 |
668 |
$0.00 |