| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,328 |
2,412 |
$140K |
| 99199 |
Unlisted special service, procedure or report |
8,327 |
4,554 |
$55K |
| 36010 |
|
282 |
90 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,295 |
623 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,727 |
772 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
250 |
126 |
$12K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
136 |
77 |
$11K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
105 |
12 |
$11K |
| 81002 |
|
4,869 |
2,619 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
320 |
88 |
$7K |
| 80305 |
|
404 |
193 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
236 |
76 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
29 |
12 |
$2K |
| 82947 |
|
1,236 |
578 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,487 |
938 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
77 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
15 |
$872.27 |
| 83013 |
|
21 |
12 |
$581.49 |
| 92552 |
|
71 |
37 |
$574.16 |
| 99406 |
|
64 |
40 |
$420.41 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
14 |
$183.24 |
| 94664 |
|
35 |
14 |
$133.56 |
| 99402 |
|
43 |
15 |
$75.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
490 |
194 |
$56.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
354 |
145 |
$36.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
61 |
25 |
$24.18 |
| 99173 |
|
22 |
14 |
$17.54 |
| 94760 |
|
174 |
100 |
$8.68 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
612 |
427 |
$0.22 |
| 3078F |
|
173 |
111 |
$0.02 |
| 3074F |
|
271 |
190 |
$0.02 |
| 3077F |
|
23 |
17 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
475 |
340 |
$0.00 |
| 1159F |
|
28 |
25 |
$0.00 |
| 3079F |
|
151 |
105 |
$0.00 |
| 3008F |
|
71 |
66 |
$0.00 |
| 1036F |
|
23 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |