| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,173 |
2,330 |
$105K |
| 99401 |
|
1,520 |
1,068 |
$26K |
| 99402 |
|
317 |
244 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
535 |
408 |
$12K |
| 99215 |
Prolong outpt/office vis |
179 |
126 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
367 |
240 |
$4K |
| 80305 |
|
393 |
295 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
44 |
39 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
524 |
421 |
$613.42 |
| G0310 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
39 |
28 |
$424.90 |
| 90686 |
|
16 |
13 |
$142.87 |
| 96127 |
|
32 |
26 |
$109.47 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
15 |
$20.05 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
13 |
$18.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
61 |
53 |
$17.04 |
| 3008F |
|
190 |
135 |
$0.00 |