| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,410 |
5,232 |
$246K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,127 |
3,971 |
$229K |
| 99199 |
Unlisted special service, procedure or report |
15,187 |
8,408 |
$97K |
| 95117 |
|
1,693 |
520 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,935 |
986 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
342 |
232 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
309 |
123 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
121 |
$1K |
| 99215 |
Prolong outpt/office vis |
40 |
25 |
$865.98 |
| 36415 |
Collection of venous blood by venipuncture |
879 |
573 |
$773.97 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
14 |
$533.82 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
313 |
189 |
$11.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
35 |
24 |
$5.78 |
| 3008F |
|
2,268 |
1,644 |
$0.91 |
| 1159F |
|
3,069 |
2,198 |
$0.00 |
| 1160F |
|
3,084 |
2,211 |
$0.00 |
| 3078F |
|
651 |
526 |
$0.00 |
| 3074F |
|
662 |
541 |
$0.00 |
| 1125F |
|
1,391 |
1,032 |
$0.00 |
| 3079F |
|
128 |
110 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
285 |
233 |
$0.00 |
| 1170F |
|
56 |
36 |
$0.00 |
| 4010F |
|
13 |
12 |
$0.00 |