| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,968 |
9,910 |
$686K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,893 |
5,655 |
$269K |
| 64635 |
|
49 |
38 |
$10K |
| 62323 |
|
138 |
128 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
52 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
119 |
$4K |
| 99205 |
Prolong outpt/office vis |
31 |
25 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
58 |
49 |
$3K |
| 64636 |
|
49 |
38 |
$2K |
| 99215 |
Prolong outpt/office vis |
33 |
24 |
$2K |
| 99408 |
|
24 |
22 |
$742.44 |
| 99000 |
|
552 |
502 |
$664.83 |
| 99439 |
|
302 |
223 |
$453.41 |
| 99454 |
|
161 |
125 |
$344.33 |
| 99458 |
|
99 |
64 |
$248.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
305 |
269 |
$232.68 |
| 99490 |
Ccm add 20min |
339 |
248 |
$206.10 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
29 |
25 |
$197.50 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
55 |
46 |
$178.18 |
| 99457 |
|
138 |
97 |
$135.48 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
340 |
340 |
$81.60 |
| J3490 |
Unclassified drugs |
80 |
65 |
$0.00 |
| 99484 |
|
21 |
12 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
17 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
55 |
48 |
$0.00 |