| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,134 |
9,939 |
$719K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,338 |
2,186 |
$178K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,533 |
3,285 |
$148K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
957 |
923 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,130 |
1,101 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
422 |
422 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,241 |
1,215 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
379 |
379 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
726 |
726 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
101 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
89 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
50 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
43 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
795 |
762 |
$3K |
| 87807 |
|
170 |
162 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$978.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$324.26 |
| 81000 |
|
40 |
39 |
$139.25 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
13 |
$24.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$3.84 |
| 90651 |
|
30 |
30 |
$1.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |