| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,851 |
2,690 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,063 |
836 |
$26K |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
920 |
728 |
$19K |
| 99215 |
Prolong outpt/office vis |
300 |
245 |
$13K |
| 87428 |
|
230 |
199 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
278 |
218 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,179 |
733 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
105 |
86 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
521 |
202 |
$4K |
| 87631 |
|
43 |
28 |
$2K |
| 96127 |
|
941 |
661 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
180 |
$2K |
| 80305 |
|
296 |
231 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
16 |
$798.64 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
138 |
112 |
$575.16 |
| 36415 |
Collection of venous blood by venipuncture |
572 |
441 |
$526.93 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
418 |
292 |
$518.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
640 |
495 |
$329.69 |
| 99442 |
|
15 |
14 |
$175.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
158 |
110 |
$152.73 |
| 90688 |
|
18 |
17 |
$101.03 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
150 |
120 |
$97.99 |
| G3003 |
Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) |
15 |
14 |
$75.47 |
| 81003 |
|
51 |
33 |
$30.39 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
21 |
19 |
$0.00 |