| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,364 |
9,637 |
$784K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
835 |
736 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,504 |
2,810 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
523 |
483 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
704 |
669 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
745 |
360 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,059 |
1,894 |
$3K |
| 99000 |
|
3,974 |
3,597 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
40 |
$2K |
| 80305 |
|
96 |
92 |
$973.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
67 |
$783.52 |
| 90688 |
|
43 |
41 |
$700.81 |
| 99422 |
|
87 |
50 |
$656.96 |
| 90656 |
|
40 |
39 |
$633.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
95 |
95 |
$526.47 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,331 |
1,078 |
$524.58 |
| 80053 |
Comprehensive metabolic panel |
59 |
54 |
$393.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,041 |
897 |
$385.73 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
150 |
119 |
$259.84 |
| G0008 |
Administration of influenza virus vaccine |
54 |
52 |
$203.22 |
| J3260 |
Injection, tobramycin sulfate, up to 80 mg |
57 |
48 |
$159.25 |
| 80061 |
Lipid panel |
15 |
15 |
$147.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,227 |
1,113 |
$116.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$69.42 |