| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,940 |
6,885 |
$416K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,760 |
3,304 |
$149K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,024 |
1,882 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
257 |
236 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
945 |
710 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
110 |
$6K |
| 99442 |
|
162 |
138 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,571 |
2,277 |
$5K |
| 0011A |
|
128 |
122 |
$4K |
| 99215 |
Prolong outpt/office vis |
48 |
41 |
$3K |
| 0012A |
|
85 |
85 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
109 |
96 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 0013A |
|
19 |
19 |
$643.72 |
| 99441 |
|
33 |
28 |
$527.06 |
| 93000 |
|
51 |
43 |
$500.30 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
16 |
15 |
$479.41 |
| 81002 |
|
130 |
121 |
$230.30 |
| 81003 |
|
147 |
133 |
$216.25 |
| 99490 |
Ccm add 20min |
480 |
459 |
$184.65 |
| 99439 |
|
12 |
12 |
$102.11 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
29 |
25 |
$29.78 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
14 |
$21.25 |
| 91301 |
|
172 |
167 |
$0.01 |
| 3008F |
|
3,294 |
2,779 |
$0.00 |
| 3079F |
|
57 |
55 |
$0.00 |
| 3080F |
|
42 |
38 |
$0.00 |
| 0358T |
|
15 |
13 |
$0.00 |
| 1159F |
|
3,050 |
2,596 |
$0.00 |
| 3077F |
|
153 |
137 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |
| 3078F |
|
62 |
57 |
$0.00 |