| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,278 |
6,288 |
$220K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,463 |
6,153 |
$185K |
| 99215 |
Prolong outpt/office vis |
854 |
728 |
$34K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,214 |
1,016 |
$29K |
| 99490 |
Ccm add 20min |
1,716 |
1,451 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
260 |
223 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
371 |
293 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
491 |
408 |
$7K |
| 93000 |
|
756 |
654 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
791 |
668 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,314 |
1,015 |
$5K |
| 90674 |
|
141 |
134 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
251 |
202 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
62 |
$2K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
186 |
149 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
191 |
$2K |
| 96127 |
|
644 |
604 |
$2K |
| 93922 |
|
115 |
99 |
$1K |
| 99497 |
|
42 |
39 |
$1K |
| 90653 |
|
85 |
83 |
$1K |
| 99397 |
|
90 |
78 |
$820.55 |
| 99385 |
|
26 |
26 |
$682.30 |
| 90686 |
|
56 |
51 |
$680.56 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
378 |
279 |
$663.53 |
| 90694 |
|
78 |
69 |
$362.60 |
| 90661 |
|
14 |
14 |
$284.70 |
| 99426 |
|
13 |
13 |
$272.60 |
| 99441 |
|
28 |
24 |
$194.36 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
293 |
241 |
$167.74 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
81 |
52 |
$154.66 |
| 81002 |
|
614 |
488 |
$137.22 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
149 |
117 |
$111.03 |
| 90662 |
|
13 |
12 |
$83.01 |
| 82607 |
|
181 |
135 |
$55.54 |
| 99442 |
|
13 |
13 |
$39.44 |
| G0008 |
Administration of influenza virus vaccine |
181 |
167 |
$22.40 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$0.00 |