| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,226 |
12,765 |
$708K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,398 |
3,253 |
$325K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,184 |
4,599 |
$308K |
| 99199 |
Unlisted special service, procedure or report |
60,464 |
30,953 |
$306K |
| 99215 |
Prolong outpt/office vis |
1,798 |
1,293 |
$108K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,087 |
3,277 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,472 |
1,652 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,440 |
1,077 |
$40K |
| 99051 |
|
2,079 |
1,592 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,340 |
1,841 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,980 |
1,533 |
$11K |
| 81003 |
|
4,010 |
3,022 |
$6K |
| 80305 |
|
1,096 |
770 |
$6K |
| 87428 |
|
185 |
91 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,446 |
2,631 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
200 |
160 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
272 |
210 |
$4K |
| 82962 |
|
4,185 |
2,792 |
$4K |
| 99406 |
|
668 |
425 |
$3K |
| 93000 |
|
286 |
220 |
$3K |
| 81025 |
|
455 |
341 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
368 |
230 |
$929.01 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,680 |
1,173 |
$671.57 |
| 87807 |
|
34 |
29 |
$405.47 |
| 86318 |
|
32 |
28 |
$338.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
40 |
34 |
$322.73 |
| 99441 |
|
43 |
26 |
$317.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
31 |
$263.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
215 |
153 |
$115.14 |
| 82570 |
|
18 |
12 |
$44.66 |
| 82044 |
|
18 |
12 |
$24.71 |
| 3074F |
|
6,351 |
4,891 |
$0.00 |
| 1125F |
|
2,907 |
2,315 |
$0.00 |
| 1126F |
|
2,620 |
2,153 |
$0.00 |
| 1036F |
|
6,142 |
4,486 |
$0.00 |
| 3075F |
|
939 |
745 |
$0.00 |
| 3079F |
|
1,924 |
1,556 |
$0.00 |
| 1034F |
|
1,338 |
1,021 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3044F |
|
39 |
39 |
$0.00 |
| 3078F |
|
6,016 |
4,637 |
$0.00 |
| 1160F |
|
3,154 |
2,459 |
$0.00 |
| 1159F |
|
3,156 |
2,461 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
59 |
34 |
$0.00 |