| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,855 |
13,454 |
$848K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
938 |
851 |
$42K |
| 64635 |
|
78 |
55 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
133 |
123 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
62 |
60 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
46 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
118 |
111 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
213 |
161 |
$3K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
86 |
42 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
97 |
42 |
$2K |
| 64636 |
|
17 |
14 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
98 |
40 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
49 |
$880.83 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
19 |
$732.83 |
| 90688 |
|
51 |
50 |
$661.94 |
| 0011A |
|
26 |
24 |
$660.40 |
| 97012 |
|
74 |
29 |
$523.79 |
| 0012A |
|
14 |
14 |
$520.80 |
| 99490 |
Ccm add 20min |
42 |
42 |
$375.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
195 |
149 |
$231.75 |
| 93000 |
|
15 |
13 |
$199.80 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
65 |
$151.11 |
| 80305 |
|
578 |
482 |
$23.49 |
| Q9962 |
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml |
407 |
235 |
$2.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
85 |
53 |
$0.13 |
| 81003 |
|
14 |
13 |
$0.00 |
| 3078F |
|
40 |
29 |
$0.00 |
| 3074F |
|
41 |
30 |
$0.00 |