| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,416 |
24,179 |
$1.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,208 |
10,735 |
$1.01M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,357 |
5,344 |
$404K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,488 |
1,474 |
$161K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,934 |
4,451 |
$128K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,814 |
9,378 |
$111K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,779 |
1,976 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
1,627 |
1,513 |
$26K |
| 99401 |
|
1,425 |
1,275 |
$26K |
| 72100 |
|
1,026 |
1,014 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
6,089 |
5,750 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
943 |
921 |
$13K |
| 72040 |
|
463 |
453 |
$10K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,531 |
5,825 |
$7K |
| 73560 |
|
367 |
321 |
$6K |
| 81003 |
|
3,961 |
3,611 |
$6K |
| 93000 |
|
894 |
878 |
$6K |
| 99000 |
|
6,061 |
5,524 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
587 |
544 |
$3K |
| 73620 |
|
166 |
158 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,049 |
1,984 |
$2K |
| 73120 |
|
127 |
121 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
537 |
514 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
125 |
$2K |
| 69210 |
|
80 |
54 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
290 |
265 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,262 |
1,039 |
$1K |
| 20610 |
|
45 |
39 |
$1K |
| 99402 |
|
23 |
21 |
$948.39 |
| 99195 |
|
17 |
15 |
$916.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,027 |
2,748 |
$904.04 |
| 78268 |
|
15 |
15 |
$875.59 |
| 96160 |
|
442 |
426 |
$677.30 |
| 16020 |
|
17 |
15 |
$658.30 |
| 90686 |
|
50 |
50 |
$625.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$594.86 |
| 90756 |
|
14 |
14 |
$359.34 |
| 82962 |
|
207 |
195 |
$343.34 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
178 |
165 |
$336.71 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
835 |
810 |
$286.44 |
| 73100 |
|
14 |
13 |
$284.96 |
| 99407 |
|
15 |
13 |
$269.91 |
| 73020 |
|
19 |
19 |
$222.71 |
| 81002 |
|
69 |
65 |
$178.56 |
| 81025 |
|
24 |
24 |
$172.83 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
175 |
155 |
$152.31 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$103.77 |
| 87807 |
|
13 |
13 |
$76.82 |
| 1111F |
|
282 |
266 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
6,104 |
4,493 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,278 |
948 |
$0.00 |
| 36410 |
|
67 |
63 |
$0.00 |