| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,202 |
5,623 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,589 |
4,217 |
$112K |
| 99490 |
Ccm add 20min |
1,987 |
1,791 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,186 |
901 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
168 |
106 |
$4K |
| 87428 |
|
78 |
59 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
53 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
356 |
305 |
$959.54 |
| 90674 |
|
70 |
58 |
$423.66 |
| G0008 |
Administration of influenza virus vaccine |
149 |
100 |
$33.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
429 |
369 |
$22.48 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
163 |
94 |
$20.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$19.92 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
162 |
94 |
$14.47 |
| 81002 |
|
15 |
12 |
$3.80 |
| 90694 |
|
31 |
18 |
$0.00 |
| 90653 |
|
36 |
28 |
$0.00 |