| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,346 |
6,895 |
$382K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,432 |
3,902 |
$343K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,823 |
3,370 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,505 |
1,168 |
$109K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,274 |
1,949 |
$91K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,854 |
4,068 |
$75K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,966 |
1,790 |
$61K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,217 |
797 |
$13K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
270 |
147 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
280 |
255 |
$7K |
| 96367 |
|
201 |
92 |
$7K |
| 86769 |
|
127 |
72 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
136 |
136 |
$4K |
| 81003 |
|
801 |
672 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
74 |
66 |
$1K |
| 0064A |
|
14 |
13 |
$589.96 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
60 |
38 |
$288.18 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
221 |
134 |
$275.50 |
| 90688 |
|
20 |
12 |
$255.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
114 |
58 |
$228.35 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
119 |
72 |
$199.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$188.56 |
| A4231 |
Infusion set for external insulin pump, needle type |
23 |
13 |
$149.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
142 |
95 |
$101.24 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$11.28 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
38 |
$1.37 |
| 91301 |
|
13 |
13 |
$0.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
12 |
$0.00 |
| 99072 |
|
157 |
90 |
$0.00 |