| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,502 |
8,030 |
$1.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,118 |
4,625 |
$773K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
302 |
299 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
356 |
333 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
491 |
482 |
$12K |
| 99215 |
Prolong outpt/office vis |
42 |
40 |
$8K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,752 |
1,707 |
$8K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,379 |
1,355 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
65 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
145 |
141 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
208 |
186 |
$4K |
| 90686 |
|
165 |
165 |
$3K |
| 0064A |
|
53 |
53 |
$2K |
| 0012A |
|
49 |
49 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 90656 |
|
81 |
81 |
$2K |
| 81002 |
|
723 |
698 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$1K |
| 0011A |
|
63 |
62 |
$992.31 |
| 0031A |
|
13 |
13 |
$528.13 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
89 |
$418.20 |
| 90661 |
|
15 |
15 |
$399.87 |
| 96160 |
|
57 |
57 |
$211.14 |
| 3074F |
|
101 |
82 |
$165.00 |
| 96156 |
|
75 |
74 |
$115.00 |
| 3078F |
|
50 |
40 |
$83.63 |
| 81025 |
|
12 |
12 |
$27.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$7.16 |
| 91306 |
|
52 |
52 |
$0.47 |
| 91303 |
|
13 |
13 |
$0.11 |
| 99072 |
|
77 |
74 |
$0.00 |
| 1000F |
|
1,198 |
1,016 |
$0.00 |
| 1036F |
|
167 |
145 |
$0.00 |
| 91301 |
|
112 |
112 |
$0.00 |
| 99000 |
|
38 |
36 |
$0.00 |