| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,866 |
1,728 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,681 |
1,724 |
$77K |
| 99215 |
Prolong outpt/office vis |
1,561 |
1,019 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
785 |
641 |
$46K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,117 |
921 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,770 |
1,312 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,010 |
853 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
275 |
227 |
$20K |
| 99205 |
Prolong outpt/office vis |
198 |
150 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
550 |
459 |
$5K |
| 99384 |
|
61 |
26 |
$4K |
| 99406 |
|
855 |
597 |
$4K |
| 99382 |
|
50 |
30 |
$3K |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
1,031 |
275 |
$2K |
| 99383 |
|
23 |
18 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
331 |
209 |
$2K |
| 87807 |
|
164 |
143 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,134 |
804 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
232 |
113 |
$1K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
801 |
191 |
$1K |
| 90686 |
|
117 |
77 |
$924.30 |
| 81025 |
|
188 |
147 |
$758.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
711 |
454 |
$737.39 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
188 |
122 |
$723.03 |
| 90658 |
|
34 |
31 |
$641.57 |
| 81002 |
|
375 |
270 |
$635.98 |
| 80305 |
|
279 |
158 |
$560.35 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
32 |
$514.55 |
| 83655 |
|
54 |
31 |
$496.45 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
331 |
198 |
$463.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
564 |
438 |
$433.27 |
| 36416 |
|
110 |
67 |
$114.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29 |
26 |
$55.68 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
26 |
12 |
$8.97 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
119 |
87 |
$6.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
12 |
$0.00 |