| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,772 |
17,485 |
$477K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,012 |
10,188 |
$389K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,201 |
3,201 |
$222K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,425 |
2,419 |
$144K |
| S9083 |
Global fee urgent care centers |
1,785 |
1,640 |
$117K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
609 |
608 |
$61K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
431 |
431 |
$46K |
| 99385 |
|
153 |
153 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
533 |
441 |
$11K |
| 96127 |
|
2,180 |
2,176 |
$10K |
| 99406 |
|
686 |
686 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
183 |
177 |
$6K |
| 99386 |
|
46 |
46 |
$6K |
| 92552 |
|
369 |
369 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
54 |
54 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
494 |
476 |
$3K |
| 76830 |
Ultrasound, transvaginal |
39 |
39 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
77 |
77 |
$3K |
| 93000 |
|
73 |
71 |
$2K |
| 99442 |
|
33 |
32 |
$2K |
| 99000 |
|
475 |
473 |
$2K |
| 81003 |
|
823 |
779 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$870.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
175 |
$779.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
40 |
$709.56 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$651.36 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$564.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$252.85 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
75 |
74 |
$42.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$23.60 |
| 96160 |
|
12 |
12 |
$1.04 |
| 3725F |
|
17 |
17 |
$0.00 |
| 3078F |
|
4,198 |
3,525 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 99408 |
|
957 |
957 |
$0.00 |
| 3077F |
|
16 |
12 |
$0.00 |
| 3079F |
|
2,581 |
2,189 |
$0.00 |
| 1034F |
|
31 |
30 |
$0.00 |
| 3075F |
|
1,109 |
959 |
$0.00 |
| 3074F |
|
5,759 |
4,744 |
$0.00 |
| 1036F |
|
277 |
259 |
$0.00 |
| 1111F |
|
67 |
64 |
$0.00 |
| 3080F |
|
149 |
120 |
$0.00 |
| 3008F |
|
255 |
246 |
$0.00 |