| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,996 |
19,249 |
$618K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,832 |
1,610 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,897 |
2,409 |
$108K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
350 |
285 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,137 |
871 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
316 |
272 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
532 |
438 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
85 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
89 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
391 |
244 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
89 |
58 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
93 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
85 |
75 |
$734.87 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
17 |
$560.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
204 |
164 |
$447.29 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
384 |
298 |
$161.35 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
33 |
$55.35 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
49 |
22 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
12 |
$0.00 |