| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,273 |
2,435 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,689 |
1,314 |
$56K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
526 |
398 |
$5K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
183 |
166 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$2K |
| 96132 |
|
87 |
82 |
$2K |
| 90674 |
|
59 |
53 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
100 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
134 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
37 |
27 |
$921.46 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
42 |
$668.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
68 |
$638.47 |
| 99406 |
|
144 |
125 |
$629.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
88 |
$608.96 |
| 81002 |
|
380 |
312 |
$472.81 |
| 96138 |
|
52 |
51 |
$366.76 |
| 36415 |
Collection of venous blood by venipuncture |
337 |
255 |
$299.62 |
| 90686 |
|
60 |
50 |
$298.43 |
| G0008 |
Administration of influenza virus vaccine |
83 |
64 |
$236.54 |
| 90756 |
|
21 |
12 |
$218.31 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
16 |
$166.74 |
| 96160 |
|
20 |
19 |
$155.55 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$135.69 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
62 |
47 |
$85.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
37 |
25 |
$38.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
75 |
64 |
$24.71 |
| 99173 |
|
12 |
12 |
$24.20 |
| 94760 |
|
15 |
13 |
$9.42 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
103 |
97 |
$0.00 |