| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,758 |
2,138 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
490 |
411 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
680 |
524 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,189 |
650 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
410 |
354 |
$704.03 |
| 3008F |
|
1,505 |
1,196 |
$660.00 |
| 3078F |
|
1,020 |
815 |
$490.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
45 |
$402.68 |
| 3074F |
|
1,034 |
803 |
$380.00 |
| 80305 |
|
86 |
58 |
$348.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
30 |
$344.29 |
| 3079F |
|
463 |
413 |
$320.00 |
| 3077F |
|
420 |
345 |
$300.00 |
| 90756 |
|
38 |
30 |
$281.28 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$272.44 |
| 90656 |
|
20 |
17 |
$165.00 |
| 3080F |
|
238 |
203 |
$150.00 |
| 3075F |
|
302 |
279 |
$80.00 |
| 1160F |
|
91 |
76 |
$50.00 |
| 1125F |
|
59 |
47 |
$30.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
13 |
$16.84 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15 |
12 |
$0.05 |
| 99000 |
|
41 |
39 |
$0.00 |