| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,028 |
3,106 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,795 |
1,363 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,692 |
1,379 |
$17K |
| 80305 |
|
1,288 |
1,150 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
197 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
76 |
55 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,083 |
1,764 |
$1K |
| 81002 |
|
1,507 |
1,227 |
$1K |
| 96130 |
|
24 |
18 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$879.48 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
45 |
34 |
$792.92 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
186 |
131 |
$742.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
523 |
437 |
$635.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,120 |
836 |
$373.01 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
691 |
561 |
$239.21 |
| 90686 |
|
21 |
15 |
$171.44 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
148 |
105 |
$102.92 |
| 90661 |
|
13 |
13 |
$93.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$91.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
14 |
$79.20 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
40 |
33 |
$5.28 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
56 |
46 |
$1.60 |
| 97802 |
|
25 |
23 |
$0.00 |