| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,117 |
16,452 |
$941K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,020 |
7,496 |
$287K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,650 |
4,941 |
$157K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,630 |
2,163 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,864 |
1,615 |
$95K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,003 |
4,002 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,949 |
1,674 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,449 |
6,137 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
871 |
777 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,869 |
1,635 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
207 |
198 |
$15K |
| 83037 |
|
2,969 |
2,254 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
9,095 |
7,454 |
$10K |
| 99215 |
Prolong outpt/office vis |
203 |
160 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
125 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
79 |
$6K |
| 3008F |
|
5,974 |
4,840 |
$6K |
| 99173 |
|
1,068 |
977 |
$5K |
| 90686 |
|
736 |
642 |
$5K |
| 81003 |
|
3,636 |
3,040 |
$4K |
| 96127 |
|
1,180 |
1,032 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
250 |
219 |
$4K |
| 95117 |
|
465 |
172 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
431 |
377 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
113 |
87 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
68 |
64 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
347 |
290 |
$1K |
| 81025 |
|
260 |
230 |
$1K |
| 92551 |
|
136 |
124 |
$881.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
568 |
452 |
$761.15 |
| 80305 |
|
97 |
83 |
$587.79 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
35 |
$512.31 |
| 1160F |
|
284 |
236 |
$380.00 |
| 90688 |
|
35 |
33 |
$287.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
119 |
105 |
$176.62 |
| 90734 |
|
58 |
56 |
$162.85 |
| 3077F |
|
77 |
66 |
$140.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
93 |
84 |
$114.97 |
| 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 |
42 |
38 |
$106.80 |
| 90461 |
|
105 |
100 |
$85.55 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
18 |
15 |
$84.50 |
| 3078F |
|
140 |
98 |
$80.00 |
| 3074F |
|
133 |
100 |
$80.00 |
| 90715 |
|
42 |
42 |
$74.26 |
| 90656 |
|
16 |
16 |
$71.62 |
| 96160 |
|
85 |
68 |
$44.07 |
| 82043 |
|
57 |
33 |
$40.15 |
| 82044 |
|
12 |
12 |
$39.28 |
| 3080F |
|
30 |
25 |
$30.00 |
| 36416 |
|
16 |
12 |
$23.45 |
| 3079F |
|
36 |
25 |
$10.00 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
118 |
94 |
$9.63 |
| 99000 |
|
4,481 |
3,706 |
$1.72 |
| 4013F |
|
183 |
147 |
$0.00 |
| 99072 |
|
839 |
659 |
$0.00 |
| 3044F |
|
111 |
89 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
15 |
$0.00 |
| 1126F |
|
22 |
12 |
$0.00 |