| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
5,375 |
2,482 |
$697K |
| 64400 |
|
2,444 |
730 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,432 |
2,216 |
$329K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,708 |
1,051 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,570 |
910 |
$94K |
| 20552 |
|
1,383 |
741 |
$63K |
| 76942 |
|
342 |
204 |
$21K |
| G0311 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 16-30 mins time (this code is used for medicaid billing purposes) |
99 |
99 |
$5K |
| 99354 |
|
61 |
48 |
$5K |
| 99402 |
|
63 |
52 |
$4K |
| 36410 |
|
545 |
497 |
$3K |
| 20553 |
|
50 |
31 |
$2K |
| 99401 |
|
55 |
52 |
$2K |
| G0313 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 16-30 mins time (this code is used for medicaid billing purposes) |
23 |
23 |
$1K |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
37 |
37 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
44 |
$933.46 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
13 |
$392.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
12 |
$325.71 |
| 99000 |
|
174 |
86 |
$211.40 |
| 94760 |
|
80 |
57 |
$187.50 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
35 |
$117.00 |
| 81002 |
|
15 |
14 |
$48.72 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
66 |
25 |
$0.92 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
68 |
20 |
$0.00 |