| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,701 |
3,674 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,073 |
717 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,683 |
1,226 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,114 |
663 |
$11K |
| 80305 |
|
1,192 |
872 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
232 |
139 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
341 |
120 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
30 |
$2K |
| 96161 |
|
195 |
145 |
$2K |
| 99490 |
Ccm add 20min |
623 |
423 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
353 |
217 |
$1K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
814 |
524 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,003 |
623 |
$833.43 |
| 94060 |
|
54 |
36 |
$789.84 |
| 81002 |
|
613 |
390 |
$754.20 |
| 94729 |
|
53 |
35 |
$746.86 |
| 94727 |
|
53 |
35 |
$628.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
41 |
$425.93 |
| 94618 |
|
43 |
28 |
$397.38 |
| 1160F |
|
410 |
280 |
$364.24 |
| 1159F |
|
366 |
251 |
$344.24 |
| 99406 |
|
74 |
52 |
$343.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,182 |
745 |
$324.52 |
| 95117 |
|
46 |
13 |
$245.43 |
| 94664 |
|
49 |
35 |
$211.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
18 |
$200.31 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
58 |
41 |
$174.75 |
| 1170F |
|
82 |
55 |
$160.00 |
| 90688 |
|
32 |
23 |
$151.45 |
| 1125F |
|
95 |
72 |
$140.00 |
| 99497 |
|
63 |
35 |
$98.78 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
107 |
51 |
$97.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
74 |
38 |
$93.16 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
27 |
12 |
$68.87 |