| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
18,921 |
15,466 |
$2.20M |
| 99214 |
|
21,896 |
17,111 |
$1.62M |
| 80307 |
|
18,574 |
13,588 |
$670K |
| 99215 |
Prolong outpt/office vis |
4,747 |
3,703 |
$500K |
| 99233 |
Prolong inpt eval add15 m |
7,262 |
4,260 |
$430K |
| 99496 |
|
2,939 |
2,399 |
$406K |
| 99213 |
|
5,031 |
3,767 |
$267K |
| T2023 |
Targeted case mgmt per month |
1,233 |
986 |
$241K |
| 99205 |
Prolong outpt/office vis |
1,175 |
1,034 |
$165K |
| 99222 |
|
490 |
433 |
$45K |
| 93923 |
|
583 |
447 |
$42K |
| 99204 |
|
324 |
274 |
$33K |
| 93000 |
|
3,326 |
2,755 |
$29K |
| T2022 |
Case management, per month |
637 |
523 |
$22K |
| 99212 |
|
490 |
404 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
335 |
147 |
$10K |
| 99232 |
|
142 |
121 |
$7K |
| 99386 |
|
55 |
50 |
$7K |
| 36415 |
|
3,100 |
2,655 |
$5K |
| 0064A |
|
52 |
46 |
$2K |
| 99396 |
|
14 |
14 |
$1K |
| 90674 |
|
78 |
62 |
$750.36 |
| 96127 |
|
205 |
172 |
$688.47 |
| G0444 |
Depression screen annual |
87 |
59 |
$573.94 |
| 90471 |
|
30 |
27 |
$425.92 |
| 99000 |
|
407 |
372 |
$284.00 |
| 99406 |
|
37 |
27 |
$243.31 |
| G0439 |
Ppps, subseq visit |
12 |
12 |
$213.80 |
| G0008 |
Admin influenza virus vac |
89 |
72 |
$168.00 |
| 90756 |
|
13 |
13 |
$109.38 |
| 91306 |
|
30 |
29 |
$0.01 |
| 99497 |
|
70 |
48 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
34 |
25 |
$0.00 |
| G2172 |
Tx for opioid use demo proj |
35 |
35 |
$0.00 |
| G0443 |
Brief alcohol misuse counsel |
34 |
25 |
$0.00 |