| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,055 |
1,808 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,700 |
2,393 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,688 |
1,536 |
$58K |
| 87428 |
|
287 |
269 |
$27K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,787 |
1,630 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
261 |
243 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,408 |
1,294 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
355 |
342 |
$15K |
| 81025 |
|
1,648 |
1,462 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
230 |
177 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,701 |
1,582 |
$6K |
| S4993 |
Contraceptive pills for birth control |
405 |
384 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
674 |
624 |
$2K |
| 99000 |
|
1,195 |
1,090 |
$2K |
| 99385 |
|
14 |
13 |
$1K |
| 99401 |
|
87 |
81 |
$1K |
| 99201 |
|
13 |
12 |
$314.97 |
| 81002 |
|
140 |
104 |
$264.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$231.84 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
20 |
$201.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |