| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,373 |
2,741 |
$181K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,598 |
1,419 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,113 |
1,757 |
$42K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
465 |
424 |
$22K |
| 99000 |
|
1,597 |
1,250 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
662 |
351 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
445 |
217 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
60 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
142 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
47 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
44 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
174 |
163 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,368 |
1,297 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
147 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
318 |
314 |
$2K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
384 |
374 |
$2K |
| 90686 |
|
202 |
199 |
$760.67 |
| 90461 |
|
89 |
67 |
$592.63 |
| 36415 |
Collection of venous blood by venipuncture |
372 |
354 |
$276.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$251.99 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
56 |
56 |
$250.56 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
222 |
215 |
$195.55 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
17 |
15 |
$35.86 |
| 81003 |
|
19 |
15 |
$30.93 |
| 90734 |
|
27 |
27 |
$0.00 |