| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,293 |
2,703 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,085 |
1,438 |
$119K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
402 |
352 |
$14K |
| Q3014 |
Telehealth originating site facility fee |
625 |
416 |
$12K |
| 99401 |
|
406 |
309 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
269 |
213 |
$10K |
| 99407 |
|
361 |
301 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
296 |
215 |
$3K |
| 99215 |
Prolong outpt/office vis |
20 |
19 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
44 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$978.50 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$384.60 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
325 |
267 |
$316.66 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
50 |
29 |
$42.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
34 |
26 |
$21.13 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
75 |
60 |
$6.34 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
68 |
66 |
$0.00 |