| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,579 |
7,484 |
$385K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,082 |
9,247 |
$316K |
| 87428 |
|
2,963 |
2,660 |
$112K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,065 |
962 |
$87K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,487 |
3,105 |
$41K |
| 99349 |
|
467 |
422 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,015 |
1,624 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,443 |
1,211 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
407 |
294 |
$17K |
| 99205 |
Prolong outpt/office vis |
197 |
185 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
324 |
267 |
$14K |
| 99335 |
|
289 |
209 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
950 |
697 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,869 |
2,549 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
204 |
186 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
352 |
320 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
264 |
212 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
70 |
$5K |
| 90785 |
|
1,171 |
859 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
151 |
146 |
$3K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
279 |
107 |
$2K |
| 81003 |
|
1,360 |
1,250 |
$1K |
| 99348 |
|
13 |
12 |
$765.18 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$763.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$743.62 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
153 |
133 |
$496.52 |
| 93000 |
|
30 |
29 |
$495.65 |
| 90686 |
|
103 |
94 |
$425.90 |
| 99401 |
|
92 |
78 |
$413.29 |
| 99441 |
|
30 |
20 |
$396.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$245.89 |
| 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 |
12 |
12 |
$133.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$128.88 |
| 90620 |
|
14 |
13 |
$122.96 |
| 80305 |
|
12 |
12 |
$119.83 |
| 99406 |
|
13 |
12 |
$85.10 |
| 96127 |
|
13 |
13 |
$37.70 |
| 97802 |
|
13 |
12 |
$8.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
15 |
$3.89 |
| 3008F |
|
3,664 |
3,283 |
$3.41 |
| 3074F |
|
632 |
583 |
$1.19 |
| 3078F |
|
446 |
416 |
$0.81 |
| 1000F |
|
412 |
379 |
$0.80 |
| 3079F |
|
313 |
290 |
$0.80 |
| 3075F |
|
152 |
148 |
$0.46 |
| 1036F |
|
1,077 |
990 |
$0.26 |
| 3077F |
|
19 |
16 |
$0.04 |
| 1159F |
|
1,569 |
1,414 |
$0.04 |
| 1160F |
|
1,567 |
1,412 |
$0.04 |
| 3080F |
|
14 |
13 |
$0.02 |
| 1034F |
|
58 |
54 |
$0.00 |
| 90688 |
|
34 |
34 |
$0.00 |
| 3725F |
|
1,109 |
1,059 |
$0.00 |
| 99072 |
|
786 |
668 |
$0.00 |
| 4013F |
|
172 |
157 |
$0.00 |
| 888888 |
|
90 |
71 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |