| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172,576 |
148,051 |
$6.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61,372 |
52,332 |
$3.22M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21,549 |
18,299 |
$641K |
| 90832 |
Psychotherapy, 30 minutes with patient |
24,715 |
21,558 |
$574K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44,910 |
20,065 |
$468K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50,726 |
45,615 |
$460K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34,592 |
24,689 |
$450K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,163 |
8,268 |
$392K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
10,923 |
9,621 |
$353K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
8,409 |
7,382 |
$351K |
| 87428 |
|
5,055 |
4,482 |
$278K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,454 |
9,319 |
$263K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,304 |
3,866 |
$250K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,625 |
3,424 |
$244K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
4,892 |
3,906 |
$230K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,190 |
19,251 |
$129K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,726 |
5,827 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,551 |
1,477 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,651 |
1,510 |
$103K |
| 90791 |
Psychiatric diagnostic evaluation |
1,621 |
1,545 |
$86K |
| 92552 |
|
3,324 |
3,083 |
$50K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
9,289 |
8,185 |
$45K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,252 |
1,091 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
585 |
556 |
$43K |
| 36415 |
Collection of venous blood by venipuncture |
23,169 |
20,068 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
313 |
291 |
$31K |
| 87807 |
|
2,968 |
2,639 |
$28K |
| 99460 |
|
685 |
601 |
$28K |
| 3008F |
|
160,458 |
135,971 |
$27K |
| 99177 |
|
3,975 |
3,721 |
$25K |
| 99462 |
|
649 |
571 |
$19K |
| 81002 |
|
8,080 |
6,607 |
$15K |
| 3074F |
|
83,249 |
71,227 |
$14K |
| 3078F |
|
74,386 |
63,824 |
$14K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
8,786 |
7,655 |
$13K |
| 54150 |
|
88 |
81 |
$13K |
| 96127 |
|
3,148 |
2,832 |
$13K |
| 81003 |
|
8,957 |
7,934 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
727 |
667 |
$12K |
| 99173 |
|
2,748 |
2,494 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,544 |
1,245 |
$10K |
| 96160 |
|
1,173 |
1,084 |
$9K |
| 81025 |
|
1,656 |
1,403 |
$6K |
| 3079F |
|
27,115 |
23,104 |
$6K |
| 94760 |
|
10,544 |
8,815 |
$6K |
| 93000 |
|
431 |
383 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12,269 |
10,736 |
$5K |
| 83655 |
|
405 |
380 |
$4K |
| 90461 |
|
16,908 |
5,268 |
$3K |
| 90686 |
|
665 |
572 |
$3K |
| 3077F |
|
10,482 |
8,830 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
31 |
$3K |
| 80305 |
|
358 |
305 |
$3K |
| 90697 |
|
1,467 |
1,307 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,702 |
1,493 |
$2K |
| 92551 |
|
358 |
314 |
$2K |
| 96161 |
|
538 |
475 |
$2K |
| 3080F |
|
4,333 |
3,724 |
$2K |
| 3075F |
|
12,251 |
10,525 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,103 |
1,828 |
$2K |
| 90756 |
|
97 |
83 |
$2K |
| 99384 |
|
16 |
14 |
$1K |
| 99383 |
|
17 |
17 |
$1K |
| 83037 |
|
249 |
198 |
$1K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
85 |
67 |
$1K |
| 99382 |
|
12 |
12 |
$893.19 |
| 90677 |
|
921 |
823 |
$875.36 |
| 90670 |
|
2,558 |
2,322 |
$720.89 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
215 |
179 |
$701.86 |
| 1159F |
|
679 |
541 |
$701.29 |
| 1160F |
|
577 |
463 |
$676.99 |
| 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) |
615 |
452 |
$510.98 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
130 |
115 |
$480.72 |
| 87220 |
|
202 |
168 |
$451.59 |
| 94060 |
|
15 |
12 |
$405.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
32 |
$389.20 |
| 90710 |
|
266 |
249 |
$375.00 |
| 87210 |
|
174 |
139 |
$367.92 |
| 82120 |
|
264 |
206 |
$325.43 |
| 90633 |
|
1,203 |
1,113 |
$319.46 |
| 90698 |
|
947 |
852 |
$310.93 |
| 90651 |
|
259 |
238 |
$294.18 |
| 90707 |
|
76 |
75 |
$293.07 |
| 90671 |
|
255 |
230 |
$265.63 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
40 |
37 |
$265.49 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
368 |
328 |
$236.51 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
14 |
$186.38 |
| 90716 |
|
64 |
62 |
$172.17 |
| 90734 |
|
92 |
88 |
$165.61 |
| 85018 |
|
105 |
102 |
$147.40 |
| 90688 |
|
248 |
236 |
$147.04 |
| 90696 |
|
134 |
130 |
$141.46 |
| 90680 |
|
2,109 |
1,873 |
$88.98 |
| 90744 |
|
501 |
447 |
$62.01 |
| 86308 |
|
14 |
14 |
$48.02 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$42.43 |
| 90674 |
|
102 |
99 |
$35.97 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
13 |
12 |
$28.09 |
| 90656 |
|
107 |
92 |
$26.40 |
| 94150 |
|
16 |
13 |
$17.75 |
| 1157F |
|
240 |
170 |
$12.18 |
| 99000 |
|
3,215 |
2,698 |
$4.57 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
19 |
12 |
$3.31 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
16 |
12 |
$0.52 |
| 90685 |
|
39 |
37 |
$0.00 |
| 90715 |
|
100 |
91 |
$0.00 |
| 90700 |
|
52 |
50 |
$0.00 |
| 1158F |
|
61 |
45 |
$0.00 |
| 90381 |
|
91 |
57 |
$0.00 |
| 4037F |
|
83 |
54 |
$0.00 |
| 90647 |
|
42 |
39 |
$0.00 |
| 90619 |
|
43 |
41 |
$0.00 |
| 1170F |
|
62 |
46 |
$0.00 |
| 1000F |
|
16 |
14 |
$0.00 |
| 1125F |
|
20 |
19 |
$0.00 |