| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,630 |
11,229 |
$893K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,703 |
11,170 |
$691K |
| 87428 |
|
5,554 |
5,074 |
$172K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,099 |
5,545 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
567 |
548 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,720 |
2,303 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,790 |
857 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
523 |
477 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
100 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
209 |
188 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
501 |
362 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
272 |
252 |
$7K |
| 90686 |
|
484 |
435 |
$5K |
| 87430 |
|
360 |
337 |
$5K |
| 99307 |
|
343 |
234 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
465 |
434 |
$4K |
| 99199 |
Unlisted special service, procedure or report |
864 |
844 |
$3K |
| 87807 |
|
271 |
257 |
$3K |
| 81001 |
|
875 |
791 |
$2K |
| 99215 |
Prolong outpt/office vis |
18 |
18 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
42 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
95 |
66 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
342 |
323 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
393 |
383 |
$460.59 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
64 |
62 |
$452.09 |
| 99201 |
|
15 |
13 |
$402.58 |
| 81000 |
|
147 |
136 |
$389.22 |
| 80053 |
Comprehensive metabolic panel |
26 |
25 |
$275.66 |
| 87420 |
|
17 |
14 |
$240.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
230 |
215 |
$185.51 |
| 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 |
18 |
15 |
$181.45 |
| 0011A |
|
12 |
12 |
$136.37 |
| 93000 |
|
13 |
12 |
$123.73 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$117.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$79.56 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$53.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$1.34 |