| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,879 |
3,392 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
651 |
603 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
286 |
285 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
413 |
386 |
$10K |
| 36410 |
|
756 |
731 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
940 |
882 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,622 |
1,555 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
323 |
301 |
$5K |
| 90656 |
|
171 |
170 |
$2K |
| 93000 |
|
238 |
238 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
63 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
166 |
$2K |
| 99386 |
|
12 |
12 |
$582.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
307 |
293 |
$420.81 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
72 |
71 |
$368.49 |
| 3008F |
|
778 |
729 |
$266.00 |
| 90756 |
|
18 |
18 |
$262.02 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
15 |
15 |
$125.70 |
| 36425 |
|
13 |
13 |
$68.01 |
| 99490 |
Ccm add 20min |
112 |
111 |
$49.65 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
27 |
$42.34 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
41 |
41 |
$40.36 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$31.75 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$9.74 |
| 4013F |
|
13 |
13 |
$3.00 |
| 3078F |
|
47 |
47 |
$2.00 |
| 3074F |
|
37 |
36 |
$1.00 |
| 99497 |
|
12 |
12 |
$0.00 |
| 99000 |
|
154 |
143 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
33 |
33 |
$0.00 |
| 4010F |
|
16 |
16 |
$0.00 |