| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,608 |
3,729 |
$230K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,514 |
3,268 |
$128K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
162 |
121 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,284 |
999 |
$11K |
| 81000 |
|
4,554 |
3,503 |
$9K |
| 82947 |
|
5,047 |
3,528 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
72 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
99 |
90 |
$4K |
| 1159F |
|
880 |
737 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,227 |
1,014 |
$4K |
| 3008F |
|
746 |
645 |
$3K |
| 1160F |
|
732 |
639 |
$3K |
| 3078F |
|
679 |
572 |
$3K |
| 0012A |
|
96 |
90 |
$3K |
| 85018 |
|
2,535 |
1,719 |
$3K |
| 3074F |
|
533 |
451 |
$3K |
| 0011A |
|
119 |
109 |
$2K |
| 93000 |
|
178 |
160 |
$1K |
| 1036F |
|
282 |
247 |
$1K |
| 1000F |
|
273 |
244 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
213 |
183 |
$1K |
| 0064A |
|
30 |
27 |
$817.69 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
186 |
153 |
$632.29 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
112 |
102 |
$468.94 |
| 0013A |
|
14 |
14 |
$402.07 |
| 1034F |
|
112 |
96 |
$400.00 |
| 3044F |
|
74 |
68 |
$390.00 |
| 90688 |
|
51 |
47 |
$292.80 |
| 0134A |
|
13 |
13 |
$280.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$169.09 |
| 3077F |
|
13 |
13 |
$100.00 |
| 3079F |
|
12 |
12 |
$81.25 |
| 96127 |
|
20 |
15 |
$64.85 |
| 3075F |
|
15 |
14 |
$50.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
112 |
101 |
$6.61 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |