| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Urgent care center global |
8,048 |
7,338 |
$602K |
| 99214 |
|
13,522 |
11,929 |
$65K |
| G0442 |
Annual alcohol screen 15 min |
3,387 |
3,315 |
$55K |
| G8431 |
Pos clin depres scrn f/u doc |
1,387 |
1,373 |
$41K |
| 99203 |
|
1,223 |
1,209 |
$23K |
| Q3014 |
Telehealth facility fee |
1,049 |
960 |
$20K |
| G8510 |
Scr dep neg, no plan reqd |
1,512 |
1,502 |
$16K |
| 99213 |
|
6,811 |
6,046 |
$15K |
| 83036 |
|
1,564 |
1,553 |
$13K |
| 99407 |
|
530 |
520 |
$11K |
| 96372 |
|
305 |
291 |
$5K |
| 99406 |
|
526 |
517 |
$4K |
| H0049 |
Alcohol/drug screening |
134 |
134 |
$3K |
| 87811 |
|
68 |
63 |
$2K |
| 99202 |
|
156 |
153 |
$2K |
| 99497 |
|
822 |
820 |
$2K |
| G2023 |
Specimen collect covid-19 |
56 |
41 |
$1K |
| 99204 |
|
121 |
120 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
79 |
75 |
$819.76 |
| G0443 |
Brief alcohol misuse counsel |
26 |
26 |
$429.00 |
| 81002 |
|
441 |
414 |
$321.75 |
| 87880 |
|
25 |
25 |
$160.77 |
| J3301 |
Triamcinolone acet inj nos |
16 |
16 |
$143.08 |
| 81025 |
|
34 |
34 |
$89.69 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$57.20 |
| G0439 |
Ppps, subseq visit |
113 |
113 |
$0.00 |
| G0438 |
Ppps, initial visit |
324 |
324 |
$0.00 |
| G0446 |
Intens behave ther cardio dx |
34 |
34 |
$0.00 |
| G0444 |
Depression screen annual |
68 |
68 |
$0.00 |