| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136,383 |
112,632 |
$6.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163,272 |
136,782 |
$5.63M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,723 |
18,074 |
$819K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,725 |
7,964 |
$559K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,322 |
19,290 |
$506K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49,318 |
21,473 |
$497K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55,621 |
47,262 |
$458K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,651 |
6,883 |
$445K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20,899 |
18,663 |
$402K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13,962 |
11,746 |
$390K |
| 90832 |
Psychotherapy, 30 minutes with patient |
14,015 |
12,261 |
$362K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
10,672 |
9,525 |
$356K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34,774 |
24,079 |
$348K |
| 87428 |
|
6,318 |
5,319 |
$333K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,898 |
3,555 |
$249K |
| 92552 |
|
10,634 |
9,162 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,604 |
1,414 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,210 |
1,770 |
$108K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,216 |
1,971 |
$105K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,386 |
2,059 |
$89K |
| 96127 |
|
13,404 |
11,280 |
$69K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,549 |
1,297 |
$54K |
| 96161 |
|
6,084 |
5,347 |
$41K |
| 99177 |
|
9,012 |
7,901 |
$40K |
| 90791 |
Psychiatric diagnostic evaluation |
674 |
652 |
$35K |
| 96160 |
|
4,667 |
3,820 |
$32K |
| 3008F |
|
97,683 |
79,880 |
$27K |
| 87807 |
|
2,455 |
2,105 |
$20K |
| 99381 |
|
280 |
253 |
$19K |
| 99215 |
Prolong outpt/office vis |
287 |
234 |
$16K |
| 99460 |
|
347 |
240 |
$14K |
| 99383 |
|
173 |
134 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
139 |
$13K |
| 99173 |
|
2,819 |
2,347 |
$12K |
| 99382 |
|
122 |
96 |
$9K |
| 81003 |
|
7,628 |
5,793 |
$8K |
| 99462 |
|
423 |
206 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
866 |
732 |
$8K |
| 90686 |
|
3,384 |
2,981 |
$7K |
| 54150 |
|
40 |
36 |
$7K |
| 95117 |
|
719 |
194 |
$6K |
| 80305 |
|
1,032 |
890 |
$5K |
| 85018 |
|
3,172 |
2,565 |
$5K |
| 99384 |
|
56 |
30 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,240 |
1,066 |
$5K |
| 99490 |
Ccm add 20min |
2,689 |
2,559 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,391 |
2,753 |
$4K |
| 81025 |
|
1,344 |
965 |
$4K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
500 |
498 |
$4K |
| 90461 |
|
6,900 |
5,973 |
$4K |
| 85014 |
|
2,165 |
1,725 |
$3K |
| 90651 |
|
260 |
196 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,526 |
2,025 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,101 |
1,706 |
$2K |
| 90670 |
|
4,444 |
3,957 |
$2K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
228 |
215 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
105 |
87 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,757 |
3,970 |
$2K |
| 94760 |
|
9,940 |
8,097 |
$2K |
| 90756 |
|
165 |
127 |
$1K |
| 83655 |
|
195 |
176 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,570 |
1,265 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
234 |
202 |
$1K |
| 90734 |
|
191 |
128 |
$1K |
| 3074F |
|
32,925 |
27,859 |
$1K |
| 92250 |
|
32 |
16 |
$970.30 |
| 90697 |
|
1,712 |
1,499 |
$844.64 |
| 3078F |
|
31,471 |
26,590 |
$821.52 |
| 95115 |
|
95 |
48 |
$788.79 |
| 90698 |
|
1,722 |
1,533 |
$766.38 |
| 93000 |
|
47 |
44 |
$679.67 |
| 90680 |
|
2,911 |
2,627 |
$663.56 |
| 90677 |
|
920 |
828 |
$608.66 |
| 90716 |
|
803 |
754 |
$490.19 |
| 69210 |
|
21 |
12 |
$462.36 |
| 90707 |
|
803 |
756 |
$462.18 |
| 3079F |
|
9,842 |
8,324 |
$421.79 |
| 3077F |
|
2,472 |
2,075 |
$420.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
82 |
72 |
$409.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77 |
67 |
$376.35 |
| 83037 |
|
68 |
57 |
$357.84 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
433 |
216 |
$351.83 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
112 |
90 |
$275.57 |
| 90633 |
|
1,514 |
1,406 |
$253.82 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$211.57 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$187.88 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
134 |
112 |
$153.89 |
| 3075F |
|
4,982 |
4,197 |
$151.02 |
| 90656 |
|
79 |
65 |
$143.24 |
| 82962 |
|
77 |
29 |
$76.82 |
| 90696 |
|
80 |
77 |
$70.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
77 |
70 |
$67.78 |
| 90744 |
|
813 |
731 |
$62.90 |
| 90715 |
|
49 |
28 |
$55.96 |
| 90700 |
|
67 |
62 |
$30.00 |
| 90674 |
|
86 |
77 |
$28.78 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
15 |
13 |
$24.59 |
| G0008 |
Administration of influenza virus vaccine |
251 |
234 |
$23.85 |
| 3080F |
|
226 |
190 |
$20.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
16 |
14 |
$4.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$2.70 |
| 1101F |
|
241 |
114 |
$0.00 |
| 1170F |
|
347 |
175 |
$0.00 |
| 3044F |
|
15 |
14 |
$0.00 |
| 90647 |
|
30 |
26 |
$0.00 |
| 1125F |
|
165 |
76 |
$0.00 |
| 90381 |
|
41 |
24 |
$0.00 |
| 1111F |
|
27 |
26 |
$0.00 |
| 1126F |
|
16 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| 90619 |
|
14 |
12 |
$0.00 |
| 90661 |
|
263 |
223 |
$0.00 |
| 90649 |
|
67 |
27 |
$0.00 |
| 90671 |
|
233 |
214 |
$0.00 |
| 1160F |
|
279 |
143 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
306 |
148 |
$0.00 |
| 90710 |
|
40 |
37 |
$0.00 |
| 1003F |
|
278 |
132 |
$0.00 |
| 1090F |
|
284 |
134 |
$0.00 |
| 1159F |
|
266 |
130 |
$0.00 |
| 90380 |
|
15 |
14 |
$0.00 |
| 1158F |
|
254 |
121 |
$0.00 |
| 99397 |
|
13 |
12 |
$0.00 |
| 2022F |
|
20 |
14 |
$0.00 |
| 90681 |
|
27 |
27 |
$0.00 |