| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,811 |
1,017 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
524 |
321 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
119 |
78 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,025 |
494 |
$582.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
35 |
$249.47 |
| 71046 |
Radiologic examination, chest; 2 views |
110 |
64 |
$159.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
230 |
163 |
$134.13 |
| 99215 |
Prolong outpt/office vis |
60 |
37 |
$133.61 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
21 |
13 |
$69.37 |
| 82962 |
|
978 |
517 |
$54.00 |
| 72100 |
|
80 |
33 |
$48.98 |
| 36415 |
Collection of venous blood by venipuncture |
683 |
410 |
$44.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
327 |
146 |
$35.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
20 |
$24.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
424 |
240 |
$19.63 |
| 81002 |
|
51 |
28 |
$12.70 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
21 |
13 |
$6.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
555 |
305 |
$4.48 |
| 90662 |
|
62 |
32 |
$0.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
21 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
58 |
39 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
19 |
15 |
$0.00 |
| 82950 |
|
30 |
19 |
$0.00 |