| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,867 |
8,196 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
144 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
360 |
336 |
$6K |
| J3490 |
Unclassified drugs |
119 |
119 |
$5K |
| 93000 |
|
601 |
594 |
$5K |
| 97802 |
|
178 |
178 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
191 |
190 |
$4K |
| 92081 |
|
135 |
135 |
$4K |
| 96150 |
|
180 |
180 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$3K |
| 92551 |
|
172 |
172 |
$2K |
| 81025 |
|
735 |
729 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
158 |
158 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
703 |
703 |
$817.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
216 |
170 |
$462.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
681 |
643 |
$333.16 |
| 85018 |
|
169 |
167 |
$317.75 |
| 82947 |
|
5,834 |
5,022 |
$225.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
31 |
$165.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$154.44 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
342 |
341 |
$150.00 |
| 99000 |
|
3,130 |
2,741 |
$130.10 |
| 90620 |
|
14 |
14 |
$126.00 |
| 90734 |
|
12 |
12 |
$108.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
281 |
273 |
$70.66 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
49 |
$27.27 |
| 90686 |
|
13 |
13 |
$27.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
126 |
124 |
$22.28 |
| 81002 |
|
14 |
13 |
$1.72 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
100 |
100 |
$0.99 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
84 |
84 |
$0.84 |
| 99442 |
|
17 |
15 |
$0.01 |
| 3078F |
|
1,834 |
1,613 |
$0.00 |
| 3077F |
|
433 |
386 |
$0.00 |
| 99397 |
|
13 |
13 |
$0.00 |
| 81003 |
|
26 |
26 |
$0.00 |
| 3008F |
|
5,688 |
4,696 |
$0.00 |
| 3075F |
|
758 |
725 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 3074F |
|
1,287 |
1,127 |
$0.00 |
| 3079F |
|
369 |
338 |
$0.00 |
| 99172 |
|
30 |
30 |
$0.00 |
| 3080F |
|
18 |
15 |
$0.00 |