| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,977 |
12,383 |
$847K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
874 |
561 |
$690K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,388 |
6,860 |
$293K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,564 |
2,417 |
$206K |
| 99408 |
|
4,133 |
3,424 |
$69K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,864 |
1,719 |
$17K |
| 99441 |
|
480 |
469 |
$14K |
| 80305 |
|
1,694 |
1,535 |
$13K |
| 99406 |
|
1,485 |
1,435 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
99 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
938 |
907 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
49 |
48 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$1K |
| 90682 |
|
14 |
14 |
$585.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
41 |
$580.63 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
12 |
$199.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
98 |
89 |
$194.49 |
| 99000 |
|
13 |
13 |
$116.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$93.10 |
| 3074F |
|
9,131 |
8,313 |
$9.51 |
| 3078F |
|
8,955 |
8,026 |
$8.75 |
| 3077F |
|
2,196 |
2,058 |
$0.68 |
| 3079F |
|
2,372 |
2,276 |
$0.58 |
| 3080F |
|
1,359 |
1,291 |
$0.53 |
| 3075F |
|
1,498 |
1,448 |
$0.19 |
| 3008F |
|
3,833 |
3,235 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
377 |
337 |
$0.00 |
| 4004F |
|
1,040 |
1,005 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
76 |
73 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
134 |
134 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
148 |
132 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
738 |
629 |
$0.00 |