| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,523 |
15,312 |
$493K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,784 |
3,655 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,071 |
847 |
$31K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,620 |
2,164 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
133 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
490 |
343 |
$5K |
| 99442 |
|
62 |
48 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,894 |
1,589 |
$2K |
| 99443 |
|
43 |
34 |
$1K |
| 80305 |
|
300 |
218 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,201 |
1,847 |
$726.98 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
16 |
$579.32 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
185 |
149 |
$552.74 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
592 |
476 |
$548.11 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
717 |
549 |
$533.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,377 |
1,980 |
$429.58 |
| 90658 |
|
21 |
18 |
$57.27 |
| 81002 |
|
27 |
25 |
$54.44 |
| 90688 |
|
111 |
97 |
$19.24 |
| G0008 |
Administration of influenza virus vaccine |
109 |
95 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
56 |
42 |
$0.00 |