| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,199 |
7,241 |
$170K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,947 |
1,311 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,216 |
3,282 |
$91K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,246 |
789 |
$42K |
| 99222 |
Initial hospital care, per day, moderate complexity |
504 |
378 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
191 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
49 |
39 |
$910.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
128 |
57 |
$840.32 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
25 |
$737.92 |
| 0001A |
|
22 |
12 |
$558.72 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
14 |
$452.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
38 |
$99.85 |
| 90756 |
|
105 |
98 |
$83.10 |
| 99442 |
|
14 |
12 |
$80.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$3.84 |
| 3288F |
|
263 |
242 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
193 |
184 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
286 |
266 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
206 |
189 |
$0.00 |
| 90674 |
|
61 |
56 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
12 |
$0.00 |