| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,669 |
5,278 |
$462K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,445 |
2,035 |
$122K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
741 |
689 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,359 |
985 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
863 |
409 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
130 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
46 |
$5K |
| 87428 |
|
80 |
76 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,446 |
1,317 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
36 |
$2K |
| 99442 |
|
82 |
45 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
104 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
47 |
$686.07 |
| 99401 |
|
15 |
15 |
$355.88 |
| 87420 |
|
33 |
25 |
$223.83 |
| 90688 |
|
15 |
15 |
$197.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,026 |
823 |
$112.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
110 |
84 |
$83.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
71 |
$51.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
14 |
$21.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
12 |
$3.97 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
13 |
12 |
$0.22 |