| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,255 |
18,019 |
$1.45M |
| 99215 |
Prolong outpt/office vis |
13,052 |
9,235 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,159 |
948 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,535 |
923 |
$17K |
| 99205 |
Prolong outpt/office vis |
150 |
129 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
457 |
402 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
172 |
165 |
$11K |
| H0038 |
Self-help/peer services, per 15 minutes |
193 |
156 |
$10K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
729 |
453 |
$6K |
| Q9992 |
Injection, buprenorphine extended-release (sublocade), greater than 100 mg |
213 |
144 |
$2K |
| 99401 |
|
109 |
49 |
$2K |
| 80305 |
|
342 |
222 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
22 |
17 |
$744.47 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
16 |
$730.95 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
12 |
$676.77 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,336 |
798 |
$569.43 |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
22 |
13 |
$430.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
27 |
$408.19 |
| 81002 |
|
135 |
88 |
$209.52 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
168 |
103 |
$168.34 |
| 81025 |
|
18 |
13 |
$87.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
107 |
66 |
$34.87 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
15 |
12 |
$1.04 |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
67 |
52 |
$0.00 |