| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,797 |
2,231 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,706 |
1,392 |
$90K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,534 |
851 |
$63K |
| 99222 |
Initial hospital care, per day, moderate complexity |
336 |
291 |
$24K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
261 |
232 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
289 |
216 |
$5K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
13 |
13 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
107 |
100 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
680 |
450 |
$2K |
| 87428 |
|
27 |
25 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
50 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
128 |
105 |
$753.67 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
17 |
$405.58 |
| 90686 |
|
35 |
33 |
$114.18 |
| 81002 |
|
14 |
12 |
$24.00 |
| 3074F |
|
1,430 |
1,247 |
$0.00 |
| 1111F |
|
1,144 |
1,003 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$0.00 |
| 3079F |
|
74 |
65 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
33 |
$0.00 |
| 3078F |
|
1,162 |
1,008 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
27 |
$0.00 |