| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,783 |
3,531 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,399 |
1,168 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,353 |
1,128 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,274 |
3,126 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,151 |
925 |
$80K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
3,266 |
3,132 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
244 |
189 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,450 |
1,057 |
$12K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
167 |
135 |
$3K |
| 87430 |
|
1,929 |
1,743 |
$1K |
| 99381 |
|
21 |
15 |
$1K |
| 87400 |
|
969 |
896 |
$532.30 |
| 87088 |
|
70 |
67 |
$135.33 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
27 |
$102.21 |
| 82962 |
|
39 |
29 |
$93.10 |
| 81002 |
|
1,400 |
1,007 |
$54.04 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
222 |
205 |
$23.28 |
| 1220F |
|
33 |
25 |
$0.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
259 |
217 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
217 |
196 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
634 |
586 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
481 |
432 |
$0.00 |
| 87650 |
|
856 |
789 |
$0.00 |
| 1125F |
|
13 |
12 |
$0.00 |
| 1036F |
|
18 |
16 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
114 |
81 |
$0.00 |
| 1034F |
|
16 |
14 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 3008F |
|
33 |
24 |
$0.00 |
| 81025 |
|
283 |
248 |
$0.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
235 |
214 |
$0.00 |
| 4004F |
|
16 |
15 |
$0.00 |
| 3078F |
|
16 |
14 |
$0.00 |