| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,060 |
10,469 |
$785K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,151 |
2,293 |
$137K |
| 99199 |
Unlisted special service, procedure or report |
9,846 |
9,637 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,632 |
1,900 |
$20K |
| 99408 |
|
274 |
242 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
678 |
343 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,961 |
3,228 |
$5K |
| 80305 |
|
734 |
579 |
$5K |
| 90756 |
|
724 |
466 |
$4K |
| 83718 |
|
416 |
403 |
$2K |
| 82465 |
|
416 |
403 |
$1K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
190 |
174 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
30 |
$953.79 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,647 |
1,242 |
$213.36 |
| 81002 |
|
78 |
76 |
$144.90 |
| 81025 |
|
14 |
13 |
$109.20 |
| 84478 |
|
416 |
403 |
$24.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$11.52 |
| G0008 |
Administration of influenza virus vaccine |
239 |
212 |
$7.49 |
| 90686 |
|
63 |
38 |
$0.00 |
| 99000 |
|
1,221 |
1,155 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| 90658 |
|
61 |
50 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |