| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,435 |
7,419 |
$398K |
| S9083 |
Global fee urgent care centers |
5,935 |
5,476 |
$349K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,565 |
9,920 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,470 |
5,166 |
$100K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
539 |
517 |
$37K |
| 94760 |
|
5,177 |
4,896 |
$3K |
| 97802 |
|
284 |
275 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$509.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$453.42 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
279 |
267 |
$390.00 |
| 99386 |
|
14 |
14 |
$264.40 |
| 99408 |
|
313 |
304 |
$250.00 |
| 99385 |
|
13 |
13 |
$188.70 |
| 92551 |
|
39 |
39 |
$159.28 |
| H0049 |
Alcohol and/or drug screening |
570 |
541 |
$144.00 |
| 81003 |
|
475 |
468 |
$136.61 |
| 99000 |
|
359 |
356 |
$134.15 |
| 1036F |
|
237 |
218 |
$125.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
154 |
147 |
$119.70 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$108.80 |
| 85018 |
|
214 |
207 |
$62.46 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
104 |
103 |
$50.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
114 |
$37.31 |
| 99173 |
|
529 |
521 |
$32.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$21.88 |
| 87430 |
|
48 |
48 |
$16.20 |
| 99406 |
|
92 |
82 |
$11.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
554 |
551 |
$6.51 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
41 |
40 |
$4.95 |
| 3008F |
|
5,504 |
5,201 |
$0.14 |
| 1159F |
|
4,030 |
3,808 |
$0.10 |
| 2010F |
|
4,615 |
4,357 |
$0.07 |
| 1160F |
|
3,827 |
3,619 |
$0.07 |
| 4004F |
|
3,701 |
3,504 |
$0.06 |
| 1126F |
|
2,255 |
2,142 |
$0.05 |
| 1125F |
|
831 |
803 |
$0.03 |
| 3074F |
|
2,451 |
2,335 |
$0.01 |
| 1220F |
|
2,342 |
2,231 |
$0.01 |
| 3078F |
|
1,970 |
1,879 |
$0.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 1111F |
|
2,315 |
2,199 |
$0.00 |
| 3075F |
|
192 |
189 |
$0.00 |
| 3079F |
|
737 |
713 |
$0.00 |
| 81005 |
|
13 |
13 |
$0.00 |
| 3080F |
|
92 |
90 |
$0.00 |
| 1170F |
|
37 |
36 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| 3077F |
|
254 |
243 |
$0.00 |
| 99401 |
|
80 |
80 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
95 |
95 |
$0.00 |
| 1158F |
|
27 |
26 |
$0.00 |
| 97803 |
|
16 |
16 |
$0.00 |
| 3725F |
|
28 |
27 |
$0.00 |