| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,009 |
2,437 |
$264K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,623 |
1,579 |
$262K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,095 |
1,704 |
$248K |
| 99385 |
|
356 |
354 |
$61K |
| 99386 |
|
208 |
208 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
289 |
271 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
581 |
486 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
162 |
145 |
$6K |
| 96127 |
|
279 |
269 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
24 |
24 |
$3K |
| 0134A |
|
65 |
63 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
82 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
21 |
$1K |
| 90688 |
|
79 |
78 |
$1K |
| 0124A |
|
27 |
27 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
47 |
$936.87 |
| 87428 |
|
13 |
13 |
$891.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$810.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
24 |
$727.31 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$545.88 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
39 |
25 |
$370.93 |
| 93000 |
|
17 |
17 |
$274.47 |
| 81003 |
|
156 |
155 |
$253.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
40 |
$223.67 |
| 81002 |
|
69 |
68 |
$165.43 |
| 99406 |
|
14 |
14 |
$147.72 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
93 |
88 |
$134.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
138 |
100 |
$112.45 |
| 99050 |
|
13 |
13 |
$39.54 |
| 99000 |
|
211 |
157 |
$2.40 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
79 |
78 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
13 |
12 |
$0.00 |