| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,895 |
13,241 |
$1.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,157 |
3,083 |
$360K |
| 99401 |
|
5,048 |
3,090 |
$74K |
| 99443 |
|
687 |
527 |
$47K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,640 |
1,428 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
373 |
367 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
479 |
475 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,615 |
1,051 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
401 |
361 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
358 |
309 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
552 |
530 |
$5K |
| 90686 |
|
409 |
406 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$4K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
81 |
75 |
$4K |
| 90746 |
|
46 |
45 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,518 |
3,371 |
$2K |
| 0001A |
|
65 |
65 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
44 |
40 |
$2K |
| 0002A |
|
47 |
47 |
$2K |
| 99442 |
|
40 |
37 |
$2K |
| 99407 |
|
210 |
145 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
933 |
601 |
$914.43 |
| 90688 |
|
77 |
74 |
$819.54 |
| 96373 |
|
42 |
24 |
$559.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
38 |
37 |
$356.31 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
36 |
$175.50 |
| 93000 |
|
14 |
12 |
$173.73 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$64.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
51 |
44 |
$51.63 |
| 82043 |
|
16 |
16 |
$50.84 |
| 90619 |
|
16 |
15 |
$0.00 |
| 91301 |
|
78 |
77 |
$0.00 |
| 99000 |
|
20 |
19 |
$0.00 |
| 91300 |
|
42 |
34 |
$0.00 |