| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,614 |
25,791 |
$940K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,853 |
2,450 |
$89K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,030 |
8,379 |
$83K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,848 |
14,354 |
$76K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,572 |
3,289 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,971 |
5,278 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,068 |
2,723 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,063 |
2,537 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
3,176 |
2,767 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
317 |
302 |
$21K |
| 95117 |
|
2,819 |
1,215 |
$19K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
4,083 |
3,346 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
195 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
237 |
214 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
919 |
787 |
$15K |
| 90688 |
|
1,036 |
954 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
6,392 |
5,383 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
762 |
732 |
$6K |
| 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 |
1,204 |
1,142 |
$5K |
| 80061 |
Lipid panel |
2,923 |
2,657 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
72 |
65 |
$4K |
| 81001 |
|
2,571 |
2,205 |
$4K |
| 3008F |
|
1,723 |
1,548 |
$4K |
| 99219 |
|
90 |
88 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,876 |
3,442 |
$4K |
| 86308 |
|
817 |
739 |
$4K |
| 80076 |
|
3,179 |
2,850 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,861 |
3,403 |
$2K |
| 99217 |
|
85 |
83 |
$2K |
| 90651 |
|
47 |
41 |
$2K |
| 90686 |
|
616 |
553 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
189 |
90 |
$2K |
| 3079F |
|
383 |
359 |
$710.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
957 |
894 |
$558.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,518 |
2,706 |
$533.09 |
| 3077F |
|
258 |
232 |
$490.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
890 |
743 |
$480.94 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
52 |
48 |
$451.96 |
| 3075F |
|
266 |
243 |
$410.00 |
| 81002 |
|
313 |
255 |
$378.26 |
| 3078F |
|
459 |
384 |
$370.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,993 |
1,783 |
$298.07 |
| 90662 |
|
609 |
599 |
$280.71 |
| 93000 |
|
27 |
25 |
$175.88 |
| 90715 |
|
17 |
14 |
$172.43 |
| 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) |
176 |
148 |
$162.91 |
| 90619 |
|
16 |
13 |
$156.11 |
| 73560 |
|
15 |
12 |
$135.67 |
| 3074F |
|
197 |
171 |
$110.00 |
| G0008 |
Administration of influenza virus vaccine |
983 |
961 |
$85.40 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
68 |
59 |
$82.78 |
| 3080F |
|
12 |
12 |
$40.00 |
| 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 |
12 |
12 |
$8.71 |
| 85652 |
|
26 |
17 |
$2.57 |
| 80053 |
Comprehensive metabolic panel |
39 |
35 |
$1.02 |
| 84550 |
|
47 |
43 |
$0.76 |
| 3044F |
|
16 |
12 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
12 |
$0.00 |
| 90716 |
|
29 |
25 |
$0.00 |
| 83880 |
|
26 |
26 |
$0.00 |
| 90670 |
|
96 |
89 |
$0.00 |
| 90707 |
|
28 |
24 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| 96160 |
|
15 |
15 |
$0.00 |
| 90700 |
|
39 |
39 |
$0.00 |