| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,354 |
30,462 |
$952K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,316 |
7,769 |
$220K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,184 |
13,843 |
$199K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,407 |
3,060 |
$83K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,557 |
5,068 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
515 |
456 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,044 |
959 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
263 |
228 |
$4K |
| 99307 |
|
146 |
146 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,649 |
1,425 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
78 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,103 |
915 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
29 |
$1K |
| 87807 |
|
71 |
68 |
$872.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
412 |
364 |
$639.59 |
| 81001 |
|
735 |
649 |
$551.34 |
| 86328 |
|
43 |
34 |
$539.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
31 |
29 |
$538.41 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$471.52 |
| 71046 |
Radiologic examination, chest; 2 views |
50 |
47 |
$448.46 |
| 90686 |
|
26 |
26 |
$398.53 |
| 0012A |
|
21 |
18 |
$336.78 |
| 0011A |
|
19 |
18 |
$254.10 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
30 |
27 |
$243.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$220.74 |
| 90688 |
|
22 |
20 |
$202.73 |
| 82044 |
|
30 |
25 |
$101.22 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
16 |
13 |
$100.21 |
| J3490 |
Unclassified drugs |
14 |
12 |
$84.46 |
| 96127 |
|
30 |
26 |
$69.77 |
| 82570 |
|
13 |
13 |
$50.51 |
| 90633 |
|
144 |
124 |
$47.16 |
| 3074F |
|
1,045 |
951 |
$5.28 |
| 3078F |
|
849 |
777 |
$3.95 |
| 3079F |
|
493 |
456 |
$3.06 |
| 3077F |
|
238 |
216 |
$1.54 |
| 3075F |
|
134 |
130 |
$0.94 |
| 3080F |
|
68 |
62 |
$0.52 |
| 3044F |
|
90 |
82 |
$0.42 |
| 90734 |
|
14 |
14 |
$0.00 |
| 3008F |
|
56 |
47 |
$0.00 |