| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63,970 |
54,111 |
$2.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,325 |
14,808 |
$490K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12,513 |
11,461 |
$275K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17,645 |
9,353 |
$179K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24,217 |
19,658 |
$159K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,494 |
1,334 |
$129K |
| 80305 |
|
15,567 |
13,603 |
$105K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,861 |
6,937 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,359 |
1,157 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
177 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
7,845 |
6,883 |
$11K |
| 90756 |
|
817 |
743 |
$11K |
| 93000 |
|
959 |
787 |
$10K |
| 95913 |
|
62 |
56 |
$10K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,733 |
5,815 |
$9K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
10,260 |
8,960 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
270 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
408 |
343 |
$5K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,785 |
3,194 |
$4K |
| 90686 |
|
396 |
336 |
$4K |
| 99205 |
Prolong outpt/office vis |
69 |
48 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
698 |
582 |
$3K |
| 93880 |
|
28 |
24 |
$3K |
| 81002 |
|
1,352 |
1,207 |
$3K |
| 90688 |
|
213 |
177 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
832 |
746 |
$2K |
| 94010 |
|
117 |
80 |
$1K |
| 74240 |
|
28 |
25 |
$1K |
| 92552 |
|
34 |
34 |
$940.17 |
| 87807 |
|
85 |
82 |
$891.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
12 |
$770.00 |
| 95927 |
|
19 |
19 |
$564.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
98 |
87 |
$527.80 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
213 |
144 |
$452.04 |
| 90656 |
|
26 |
24 |
$447.00 |
| 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 |
149 |
84 |
$330.63 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
77 |
68 |
$312.42 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
12 |
12 |
$156.52 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
25 |
12 |
$84.62 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$54.48 |
| G0180 |
Physician or allowed practitioner 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 |
26 |
14 |
$41.58 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
12 |
$0.09 |
| 99000 |
|
29 |
28 |
$0.00 |
| 3074F |
|
1,265 |
1,219 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
411 |
362 |
$0.00 |
| 3044F |
|
206 |
201 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
33 |
33 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$0.00 |
| 3080F |
|
43 |
39 |
$0.00 |
| 3079F |
|
360 |
352 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
49 |
$0.00 |
| 3075F |
|
51 |
50 |
$0.00 |
| 99080 |
|
6,319 |
5,250 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,499 |
1,438 |
$0.00 |
| 3078F |
|
1,117 |
1,070 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 3077F |
|
181 |
172 |
$0.00 |
| 99307 |
|
16 |
12 |
$0.00 |
| 90658 |
|
18 |
12 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
15 |
14 |
$0.00 |