| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 52442 |
|
346 |
340 |
$270K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,196 |
16,866 |
$256K |
| 51798 |
|
6,748 |
5,924 |
$116K |
| 52441 |
|
345 |
342 |
$103K |
| 51728 |
|
1,105 |
1,102 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,814 |
2,616 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,649 |
1,640 |
$62K |
| 52000 |
|
1,871 |
1,861 |
$53K |
| 64566 |
|
3,298 |
2,236 |
$48K |
| 51741 |
|
3,646 |
3,606 |
$46K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,449 |
1,778 |
$31K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
945 |
923 |
$28K |
| 50590 |
|
58 |
54 |
$25K |
| 51784 |
|
1,147 |
1,141 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,219 |
1,130 |
$21K |
| 76872 |
|
692 |
692 |
$11K |
| 99442 |
|
358 |
326 |
$6K |
| 51702 |
|
341 |
249 |
$5K |
| 81000 |
|
4,861 |
4,184 |
$5K |
| 99243 |
|
91 |
91 |
$4K |
| J3260 |
Injection, tobramycin sulfate, up to 80 mg |
1,130 |
882 |
$3K |
| 76775 |
|
108 |
88 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$541.20 |
| 96402 |
|
853 |
840 |
$517.96 |
| 76770 |
|
24 |
24 |
$484.32 |
| 81003 |
|
94 |
80 |
$165.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
27 |
$92.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
13 |
12 |
$49.12 |
| 1036F |
|
11,140 |
8,835 |
$0.04 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
15 |
12 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,529 |
9,047 |
$0.00 |
| 1090F |
|
86 |
78 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
12,349 |
9,707 |
$0.00 |
| 0509F |
|
49 |
42 |
$0.00 |