| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,888 |
1,627 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
656 |
607 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
212 |
194 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
90 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
75 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
81 |
75 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
675 |
618 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$397.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
145 |
87 |
$261.81 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
235 |
212 |
$260.00 |
| H0049 |
Alcohol and/or drug screening |
157 |
124 |
$172.32 |
| 99173 |
|
234 |
192 |
$132.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
64 |
55 |
$58.80 |
| 81002 |
|
16 |
12 |
$18.27 |
| 99172 |
|
17 |
16 |
$10.68 |
| 96127 |
|
31 |
28 |
$8.76 |
| 3008F |
|
260 |
229 |
$0.00 |
| 1036F |
|
122 |
108 |
$0.00 |
| 2010F |
|
90 |
80 |
$0.00 |
| 1000F |
|
39 |
38 |
$0.00 |
| 2000F |
|
92 |
81 |
$0.00 |
| 2001F |
|
90 |
80 |
$0.00 |
| 1159F |
|
238 |
214 |
$0.00 |
| 3725F |
|
231 |
204 |
$0.00 |
| 1160F |
|
198 |
176 |
$0.00 |