| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,877 |
2,826 |
$254K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,663 |
3,413 |
$225K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,176 |
2,555 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,267 |
1,265 |
$91K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
428 |
421 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,330 |
1,278 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,798 |
1,722 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,811 |
1,558 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
74 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,306 |
1,290 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
26 |
24 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
270 |
238 |
$2K |
| 99000 |
|
1,722 |
1,664 |
$1K |
| 93000 |
|
159 |
152 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
547 |
507 |
$579.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
200 |
183 |
$392.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$339.54 |
| 90686 |
|
19 |
18 |
$259.32 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$238.74 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$192.63 |
| 3074F |
|
664 |
647 |
$1.71 |
| 3008F |
|
750 |
736 |
$1.50 |
| 3078F |
|
578 |
565 |
$1.48 |
| 3048F |
|
142 |
142 |
$0.35 |
| 3049F |
|
60 |
57 |
$0.24 |
| 3079F |
|
34 |
31 |
$0.11 |
| 3044F |
|
658 |
650 |
$0.01 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
562 |
548 |
$0.00 |
| 99051 |
|
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$0.00 |