| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,514 |
2,109 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,900 |
2,440 |
$117K |
| 90688 |
|
115 |
83 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
134 |
126 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
97 |
$993.25 |
| 90686 |
|
43 |
32 |
$648.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
30 |
$512.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$395.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$230.23 |
| 80053 |
Comprehensive metabolic panel |
29 |
28 |
$137.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$36.59 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
27 |
$24.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
13 |
$14.01 |
| 1160F |
|
75 |
40 |
$0.00 |
| 1159F |
|
67 |
36 |
$0.00 |
| 3074F |
|
67 |
36 |
$0.00 |
| 3008F |
|
79 |
44 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
35 |
$0.00 |