| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,955 |
10,525 |
$861K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,512 |
2,154 |
$140K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,564 |
1,433 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
254 |
228 |
$28K |
| 80305 |
|
1,039 |
893 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
199 |
175 |
$7K |
| 0011A |
|
110 |
96 |
$3K |
| 99408 |
|
1,243 |
1,152 |
$3K |
| 0012A |
|
92 |
79 |
$2K |
| 99406 |
|
140 |
126 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
31 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
102 |
76 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
320 |
266 |
$895.74 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
30 |
30 |
$766.58 |
| 0031A |
|
19 |
16 |
$545.96 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
31 |
30 |
$519.19 |
| 82948 |
|
158 |
124 |
$146.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
12 |
$139.01 |
| 90756 |
|
26 |
19 |
$111.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
19 |
$65.24 |
| 82962 |
|
30 |
22 |
$15.99 |
| 99000 |
|
1,716 |
1,474 |
$0.00 |
| 91301 |
|
199 |
171 |
$0.00 |
| 91303 |
|
18 |
15 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
13 |
13 |
$0.00 |