| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,055 |
19,339 |
$1.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,234 |
12,136 |
$718K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
7,276 |
3,829 |
$153K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,932 |
2,765 |
$120K |
| 87428 |
|
1,529 |
1,448 |
$62K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
460 |
450 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,933 |
2,594 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,132 |
2,003 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,572 |
744 |
$22K |
| 99307 |
|
1,820 |
886 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
253 |
251 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
246 |
244 |
$19K |
| 99310 |
Prolong nursin fac eval 15m |
491 |
405 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
534 |
505 |
$16K |
| 90686 |
|
1,010 |
993 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
173 |
$13K |
| 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 |
1,159 |
991 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
178 |
174 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,355 |
1,318 |
$6K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
65 |
64 |
$5K |
| 90651 |
|
76 |
76 |
$4K |
| 90677 |
|
25 |
25 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
49 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
631 |
548 |
$4K |
| 90734 |
|
72 |
71 |
$3K |
| 90649 |
|
13 |
13 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
160 |
154 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
24 |
$2K |
| 81000 |
|
447 |
425 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$1K |
| 87807 |
|
88 |
75 |
$986.61 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
20 |
16 |
$950.00 |
| 90620 |
|
25 |
25 |
$722.00 |
| 81001 |
|
199 |
184 |
$589.28 |
| 90656 |
|
28 |
28 |
$506.00 |
| 87430 |
|
38 |
36 |
$476.01 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
13 |
$377.96 |
| 90461 |
|
60 |
56 |
$271.49 |
| 0011A |
|
17 |
17 |
$261.75 |
| 81002 |
|
91 |
85 |
$236.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
212 |
204 |
$228.94 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
30 |
29 |
$211.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
25 |
$209.47 |
| 90633 |
|
13 |
13 |
$166.59 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
148 |
144 |
$114.87 |
| 81003 |
|
36 |
35 |
$82.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
71 |
63 |
$30.30 |