| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,964 |
10,219 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,068 |
1,842 |
$120K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,032 |
1,760 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,555 |
1,374 |
$47K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
900 |
783 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,542 |
671 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
132 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,088 |
953 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
180 |
152 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
648 |
561 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
117 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
128 |
119 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
31 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 90756 |
|
75 |
72 |
$1K |
| 90686 |
|
139 |
95 |
$1K |
| 99173 |
|
355 |
240 |
$980.00 |
| 92551 |
|
280 |
195 |
$805.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
131 |
118 |
$577.98 |
| 36415 |
Collection of venous blood by venipuncture |
405 |
380 |
$540.40 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
48 |
48 |
$489.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
287 |
266 |
$434.45 |
| 90651 |
|
36 |
30 |
$412.22 |
| 90715 |
|
15 |
15 |
$296.85 |
| 87807 |
|
22 |
21 |
$242.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
294 |
186 |
$150.00 |
| 90633 |
|
60 |
26 |
$136.00 |
| 93000 |
|
26 |
24 |
$130.90 |
| 81002 |
|
58 |
53 |
$128.61 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
14 |
$8.02 |
| 82270 |
|
13 |
12 |
$3.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |