| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,498 |
16,799 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,837 |
10,028 |
$857K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,457 |
1,395 |
$129K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,317 |
3,209 |
$129K |
| 99442 |
|
3,435 |
2,553 |
$128K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,872 |
5,083 |
$97K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,949 |
3,844 |
$57K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,300 |
1,139 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,132 |
2,083 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
252 |
252 |
$25K |
| 99441 |
|
1,102 |
877 |
$22K |
| 99307 |
|
1,929 |
1,401 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
665 |
662 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,363 |
2,133 |
$4K |
| 90686 |
|
174 |
173 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
58 |
13 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,532 |
1,305 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28 |
28 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
32 |
12 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
47 |
42 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
27 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
89 |
46 |
$980.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,433 |
2,217 |
$872.51 |
| 87807 |
|
75 |
74 |
$864.76 |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$713.41 |
| 90658 |
|
22 |
22 |
$399.86 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$364.63 |
| 90688 |
|
22 |
22 |
$294.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$293.44 |
| 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) |
188 |
139 |
$266.60 |
| 95117 |
|
117 |
72 |
$224.08 |
| 69210 |
|
12 |
12 |
$94.45 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
12 |
$90.16 |
| 96160 |
|
185 |
184 |
$0.00 |