| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,905 |
2,318 |
$137K |
| 99199 |
Unlisted special service, procedure or report |
14,197 |
8,176 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
627 |
501 |
$24K |
| 96127 |
|
1,036 |
610 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
21 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
123 |
98 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
47 |
31 |
$1K |
| 82947 |
|
214 |
192 |
$448.58 |
| 81003 |
|
112 |
92 |
$174.56 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
15 |
$13.50 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
41 |
31 |
$0.96 |
| 3074F |
|
2,992 |
2,489 |
$0.61 |
| 3079F |
|
841 |
730 |
$0.34 |
| 3078F |
|
2,428 |
2,022 |
$0.34 |
| 1160F |
|
2,552 |
2,018 |
$0.29 |
| 3075F |
|
109 |
96 |
$0.03 |
| 3008F |
|
3,630 |
2,975 |
$0.03 |
| 1036F |
|
2,830 |
2,195 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
16 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
15 |
$0.00 |
| 3725F |
|
1,528 |
1,299 |
$0.00 |
| 99497 |
|
16 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
15 |
$0.00 |