| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,970 |
25,895 |
$1.14M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,186 |
16,487 |
$501K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,878 |
4,534 |
$97K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,296 |
4,994 |
$74K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,226 |
4,865 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,266 |
1,995 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,153 |
2,535 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,431 |
570 |
$30K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
612 |
582 |
$25K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,380 |
1,221 |
$9K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
999 |
890 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
84 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
108 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
152 |
143 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
137 |
113 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
60 |
51 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
45 |
39 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
44 |
43 |
$2K |
| 0012A |
|
54 |
53 |
$2K |
| 0013A |
|
53 |
52 |
$1K |
| 0011A |
|
34 |
34 |
$1K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
13 |
13 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
64 |
51 |
$851.41 |
| 99443 |
|
29 |
27 |
$801.38 |
| 96130 |
|
12 |
12 |
$767.90 |
| 99441 |
|
90 |
82 |
$744.34 |
| 99225 |
|
34 |
13 |
$704.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
31 |
$648.61 |
| 99442 |
|
54 |
45 |
$634.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
369 |
316 |
$604.98 |
| 96131 |
|
12 |
12 |
$574.08 |
| 96136 |
|
25 |
24 |
$549.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$513.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,046 |
934 |
$507.18 |
| 80305 |
|
59 |
49 |
$451.46 |
| 96127 |
|
137 |
126 |
$425.30 |
| 81002 |
|
404 |
325 |
$268.17 |
| 96137 |
|
13 |
12 |
$247.85 |
| 36415 |
Collection of venous blood by venipuncture |
115 |
89 |
$211.50 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35 |
24 |
$89.26 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
22 |
12 |
$53.87 |
| 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) |
207 |
183 |
$27.89 |
| 3074F |
|
10,409 |
9,705 |
$3.49 |
| 3078F |
|
9,336 |
8,690 |
$2.91 |
| 3079F |
|
3,971 |
3,722 |
$1.53 |
| 3075F |
|
1,078 |
1,011 |
$0.58 |
| 3077F |
|
1,170 |
1,080 |
$0.52 |
| 1126F |
|
4,122 |
3,872 |
$0.01 |
| 1159F |
|
1,683 |
1,501 |
$0.00 |
| 1160F |
|
1,687 |
1,504 |
$0.00 |
| 3725F |
|
343 |
321 |
$0.00 |
| 1090F |
|
13 |
13 |
$0.00 |
| 1125F |
|
6,304 |
5,853 |
$0.00 |
| 3008F |
|
14,252 |
13,151 |
$0.00 |
| 1034F |
|
3,868 |
3,559 |
$0.00 |
| 1036F |
|
10,875 |
9,775 |
$0.00 |
| 1035F |
|
1,127 |
1,020 |
$0.00 |
| 91301 |
|
144 |
140 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3080F |
|
158 |
141 |
$0.00 |
| 99000 |
|
24 |
21 |
$0.00 |