| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,963 |
1,514 |
$106K |
| 99487 |
Ccm add 20min |
449 |
449 |
$54K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
760 |
597 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
266 |
$9K |
| 99490 |
Ccm add 20min |
201 |
201 |
$6K |
| 94010 |
|
214 |
214 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
59 |
$5K |
| 93000 |
|
369 |
367 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
324 |
258 |
$3K |
| 99442 |
|
37 |
31 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
58 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
21 |
13 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$900.00 |
| 99497 |
|
13 |
13 |
$877.91 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
20 |
19 |
$872.17 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
625 |
491 |
$253.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$235.56 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
634 |
499 |
$150.03 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
27 |
$149.72 |
| 99429 |
|
222 |
173 |
$0.00 |