| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99444 |
|
892 |
258 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,091 |
992 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
820 |
702 |
$17K |
| 99421 |
|
330 |
90 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
467 |
370 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
325 |
268 |
$870.14 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$718.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
36 |
$500.40 |
| 36410 |
|
127 |
118 |
$468.34 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
55 |
55 |
$407.51 |
| 99497 |
|
53 |
53 |
$208.67 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$6.24 |
| 81003 |
|
181 |
161 |
$0.00 |
| 1090F |
|
29 |
29 |
$0.00 |
| 82948 |
|
15 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
29 |
29 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
41 |
41 |
$0.00 |
| 3288F |
|
50 |
50 |
$0.00 |
| 4040F |
|
13 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
14 |
$0.00 |
| 1100F |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 99397 |
|
15 |
15 |
$0.00 |
| 1111F |
|
1,153 |
974 |
$0.00 |
| 1170F |
|
30 |
30 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
139 |
107 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
26 |
26 |
$0.00 |
| 2000F |
|
33 |
33 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
53 |
53 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 0509F |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
26 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
16 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
13 |
$0.00 |