| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
2,241 |
2,239 |
$641K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,216 |
3,091 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,156 |
2,079 |
$96K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
3,009 |
2,948 |
$96K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
393 |
368 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
208 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
132 |
131 |
$15K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
75 |
75 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
376 |
373 |
$13K |
| 80305 |
|
736 |
688 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
559 |
533 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
229 |
224 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
398 |
389 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
135 |
132 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$410.81 |
| 96127 |
|
16 |
16 |
$140.80 |
| 81003 |
|
25 |
25 |
$61.84 |