| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,771 |
35,869 |
$2.17M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,737 |
2,346 |
$180K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,163 |
2,362 |
$94K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,188 |
3,272 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
999 |
676 |
$47K |
| 99442 |
|
1,753 |
1,220 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
409 |
364 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
296 |
272 |
$23K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
232 |
205 |
$17K |
| 93000 |
|
1,786 |
1,362 |
$14K |
| 99386 |
|
113 |
96 |
$9K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
242 |
206 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
459 |
249 |
$6K |
| 99385 |
|
54 |
51 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,943 |
2,051 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
98 |
86 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
337 |
235 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
58 |
44 |
$2K |
| 20552 |
|
104 |
62 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
628 |
379 |
$1K |
| 87428 |
|
164 |
79 |
$827.09 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
51 |
43 |
$688.97 |
| 81025 |
|
139 |
126 |
$597.53 |
| 99492 |
|
31 |
17 |
$591.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
402 |
297 |
$574.85 |
| 81002 |
|
624 |
451 |
$517.34 |
| 99490 |
Ccm add 20min |
124 |
75 |
$431.06 |
| 99441 |
|
15 |
13 |
$307.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
761 |
572 |
$290.71 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
15 |
13 |
$155.63 |
| 87400 |
|
53 |
32 |
$143.14 |
| 3074F |
|
1,385 |
1,199 |
$100.00 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
44 |
$73.62 |
| 81003 |
|
111 |
94 |
$72.45 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
12 |
$45.56 |
| 96127 |
|
19 |
19 |
$34.30 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
26 |
21 |
$32.98 |
| 3077F |
|
349 |
296 |
$5.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
49 |
31 |
$0.40 |
| 3075F |
|
380 |
341 |
$0.00 |
| 3079F |
|
596 |
538 |
$0.00 |
| 3080F |
|
163 |
144 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$0.00 |
| 3078F |
|
1,263 |
1,080 |
$0.00 |
| 0232T |
|
17 |
13 |
$0.00 |