| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,022 |
6,641 |
$382K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,506 |
2,134 |
$154K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,695 |
3,176 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
896 |
770 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,327 |
721 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,946 |
2,462 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
817 |
653 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
38 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
89 |
77 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
167 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
15 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
591 |
508 |
$719.46 |
| 92551 |
|
92 |
76 |
$655.03 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
46 |
44 |
$592.89 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
27 |
$353.05 |
| 81003 |
|
118 |
96 |
$176.79 |
| 90686 |
|
41 |
37 |
$162.70 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
81 |
66 |
$95.71 |
| 99173 |
|
72 |
56 |
$90.54 |
| 96160 |
|
22 |
16 |
$42.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
49 |
34 |
$11.90 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
54 |
43 |
$6.55 |
| 36416 |
|
1,761 |
1,451 |
$0.00 |