| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2315 |
Injection, naltrexone, depot form, 1 mg |
2,281 |
2,010 |
$3.12M |
| 99214 |
|
10,078 |
7,002 |
$794K |
| 99204 |
|
3,508 |
3,438 |
$360K |
| 99213 |
|
2,957 |
2,003 |
$159K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
9,357 |
6,698 |
$144K |
| 99441 |
|
1,611 |
1,391 |
$50K |
| 99203 |
|
438 |
434 |
$28K |
| 80305 |
|
3,051 |
2,273 |
$27K |
| 99401 |
|
1,265 |
1,082 |
$24K |
| 96372 |
|
3,042 |
2,656 |
$23K |
| 96127 |
|
2,898 |
2,858 |
$14K |
| 36415 |
|
2,018 |
1,934 |
$10K |
| 87635 |
|
307 |
202 |
$9K |
| 99408 |
|
738 |
631 |
$8K |
| 99000 |
|
4,296 |
3,251 |
$7K |
| 98967 |
|
804 |
740 |
$4K |
| 81025 |
|
597 |
546 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,081 |
762 |
$4K |
| 99406 |
|
414 |
388 |
$3K |
| 90471 |
|
226 |
218 |
$3K |
| 86580 |
|
413 |
410 |
$3K |
| 90686 |
|
121 |
120 |
$3K |
| 80306 |
|
195 |
164 |
$2K |
| 99386 |
|
12 |
12 |
$1K |
| 80307 |
|
37 |
28 |
$1K |
| 99202 |
|
23 |
21 |
$966.00 |
| 98968 |
|
153 |
144 |
$900.73 |
| 90658 |
|
49 |
49 |
$779.68 |
| 0011A |
|
18 |
18 |
$599.92 |
| 99201 |
|
42 |
39 |
$575.78 |
| 99211 |
|
60 |
39 |
$490.74 |
| 0012A |
|
15 |
13 |
$332.14 |
| 81002 |
|
112 |
108 |
$309.62 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
407 |
347 |
$259.07 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$200.56 |
| G9001 |
Coordinated care fee, initial rate |
70 |
69 |
$150.09 |
| 91303 |
|
88 |
52 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 99072 |
|
157 |
102 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
148 |
139 |
$0.00 |