| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,925 |
4,071 |
$167K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
466 |
377 |
$7K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
70 |
64 |
$381.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$295.50 |
| 80305 |
|
36 |
29 |
$274.95 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
13 |
$258.06 |
| 96127 |
|
108 |
88 |
$221.68 |
| 82962 |
|
103 |
74 |
$163.21 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
75 |
$128.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
80 |
66 |
$20.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$8.64 |
| 3008F |
|
150 |
113 |
$0.00 |
| 3074F |
|
15 |
13 |
$0.00 |