| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,934 |
11,728 |
$516K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,436 |
4,037 |
$192K |
| 80305 |
|
1,214 |
579 |
$8K |
| 99307 |
|
1,569 |
1,453 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
171 |
112 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
298 |
257 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
350 |
198 |
$774.91 |
| 72100 |
|
55 |
50 |
$718.60 |
| 0031A |
|
41 |
41 |
$600.00 |
| 0012A |
|
73 |
72 |
$489.02 |
| 0011A |
|
93 |
90 |
$394.88 |
| 72040 |
|
16 |
13 |
$189.88 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
163 |
108 |
$185.60 |
| 93000 |
|
12 |
12 |
$129.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$49.44 |
| 82962 |
|
17 |
13 |
$38.34 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
263 |
138 |
$36.47 |
| 81002 |
|
17 |
13 |
$21.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
52 |
42 |
$3.59 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
14 |
$2.47 |
| T1015 |
Clinic visit/encounter, all-inclusive |
184 |
110 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
26 |
25 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
41 |
40 |
$0.00 |
| 91301 |
|
169 |
162 |
$0.00 |
| 90686 |
|
42 |
41 |
$0.00 |
| 91303 |
|
41 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
42 |
$0.00 |