| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,935 |
6,127 |
$367K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
766 |
728 |
$62K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
768 |
697 |
$22K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
113 |
106 |
$8K |
| 94760 |
|
4,713 |
4,236 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
447 |
400 |
$5K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
488 |
362 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
275 |
254 |
$4K |
| 99000 |
|
1,850 |
1,655 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
32 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
31 |
$1K |
| 99442 |
|
15 |
14 |
$724.26 |
| 90686 |
|
46 |
45 |
$598.05 |
| 0012A |
|
33 |
33 |
$480.00 |
| 0011A |
|
31 |
31 |
$440.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
86 |
$341.76 |
| 81003 |
|
40 |
38 |
$84.41 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$84.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$81.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$78.41 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
36 |
$77.81 |
| 36416 |
|
28 |
26 |
$20.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
29 |
$17.19 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$4.76 |
| 2010F |
|
8,272 |
7,265 |
$0.00 |
| 2000F |
|
8,474 |
7,436 |
$0.00 |
| 2001F |
|
8,268 |
7,259 |
$0.00 |
| 3008F |
|
7,562 |
6,668 |
$0.00 |