| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,141 |
9,946 |
$496K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,898 |
9,188 |
$329K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,387 |
1,191 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,162 |
2,396 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
816 |
741 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
130 |
$8K |
| 92552 |
|
568 |
513 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
388 |
172 |
$4K |
| 99173 |
|
579 |
525 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
180 |
92 |
$3K |
| 81003 |
|
2,147 |
1,732 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
233 |
193 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
214 |
138 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
21 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
14 |
$1K |
| 99401 |
|
51 |
47 |
$1K |
| 96160 |
|
76 |
41 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$974.67 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
999 |
778 |
$961.04 |
| 96127 |
|
212 |
174 |
$700.14 |
| 99406 |
|
59 |
47 |
$306.26 |
| 80305 |
|
38 |
31 |
$199.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
17 |
$154.81 |
| 81025 |
|
26 |
25 |
$146.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
237 |
195 |
$87.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$12.40 |