| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,738 |
20,399 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,625 |
15,595 |
$622K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
9,723 |
5,169 |
$160K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,804 |
3,067 |
$84K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,673 |
2,457 |
$81K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,574 |
4,180 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,429 |
1,646 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,597 |
3,099 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,586 |
4,907 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
13,307 |
11,400 |
$14K |
| 1160F |
|
32,062 |
26,629 |
$11K |
| 3008F |
|
16,372 |
14,095 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
192 |
$5K |
| 3078F |
|
9,261 |
7,921 |
$4K |
| 3074F |
|
9,276 |
8,030 |
$4K |
| 87428 |
|
67 |
66 |
$4K |
| 1126F |
|
3,683 |
3,148 |
$3K |
| 1125F |
|
3,531 |
2,958 |
$3K |
| 92552 |
|
186 |
160 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
28 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
92 |
87 |
$1K |
| 81002 |
|
562 |
497 |
$994.97 |
| 99173 |
|
209 |
183 |
$958.36 |
| 96127 |
|
260 |
233 |
$945.17 |
| 99307 |
|
67 |
59 |
$545.59 |
| 3079F |
|
1,227 |
1,076 |
$520.00 |
| 81025 |
|
112 |
100 |
$518.89 |
| 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) |
356 |
235 |
$486.26 |
| 90686 |
|
79 |
69 |
$456.17 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
94 |
77 |
$372.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
978 |
880 |
$349.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
16 |
$249.47 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
71 |
64 |
$130.14 |
| 3075F |
|
648 |
537 |
$110.37 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$47.35 |
| 1159F |
|
4,664 |
3,344 |
$10.05 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
26,005 |
22,222 |
$0.02 |
| 3077F |
|
39 |
33 |
$0.00 |
| 1170F |
|
105 |
60 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |