| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,545 |
5,062 |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,678 |
3,219 |
$108K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,879 |
1,121 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
282 |
188 |
$7K |
| 90682 |
|
142 |
92 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
37 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
12 |
$959.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
151 |
102 |
$778.71 |
| 90688 |
|
29 |
19 |
$319.33 |
| 81002 |
|
294 |
187 |
$299.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
31 |
$234.56 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
219 |
147 |
$190.69 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
16 |
12 |
$88.38 |
| 3078F |
|
620 |
386 |
$70.00 |
| 3074F |
|
664 |
390 |
$70.00 |
| 1159F |
|
884 |
520 |
$50.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
25 |
$25.73 |
| 3008F |
|
714 |
438 |
$16.20 |
| 1160F |
|
71 |
47 |
$0.00 |
| 1033F |
|
19 |
12 |
$0.00 |
| 1036F |
|
163 |
112 |
$0.00 |
| 3079F |
|
22 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
109 |
67 |
$0.00 |
| 3014F |
|
43 |
28 |
$0.00 |
| 3017F |
|
68 |
41 |
$0.00 |
| 3044F |
|
75 |
44 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
17 |
$0.00 |
| 3048F |
|
23 |
16 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
14 |
12 |
$0.00 |