| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,689 |
12,489 |
$732K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,179 |
12,994 |
$587K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,139 |
1,982 |
$190K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,027 |
1,982 |
$177K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,620 |
1,534 |
$111K |
| 99000 |
|
10,947 |
10,196 |
$109K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,080 |
3,268 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,144 |
3,145 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,035 |
1,011 |
$84K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,050 |
4,108 |
$83K |
| 99385 |
|
772 |
729 |
$59K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,200 |
2,837 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
609 |
594 |
$53K |
| 92557 |
|
1,155 |
1,138 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
398 |
395 |
$25K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
279 |
268 |
$19K |
| 99091 |
|
124 |
117 |
$19K |
| 99215 |
Prolong outpt/office vis |
225 |
220 |
$17K |
| 99384 |
|
151 |
149 |
$14K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,030 |
947 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
109 |
$9K |
| 90620 |
|
203 |
198 |
$7K |
| 90461 |
|
1,367 |
1,078 |
$6K |
| 99350 |
Prolong home eval add 15m |
68 |
54 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
510 |
422 |
$5K |
| 81025 |
|
681 |
650 |
$5K |
| 90734 |
|
769 |
750 |
$5K |
| 87807 |
|
408 |
389 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,250 |
2,078 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
395 |
336 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
219 |
188 |
$3K |
| 81002 |
|
855 |
752 |
$2K |
| 90686 |
|
657 |
649 |
$2K |
| 99491 |
Ccm add 20min |
507 |
496 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
159 |
148 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
242 |
227 |
$1K |
| 99337 |
|
297 |
224 |
$1K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
361 |
333 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
39 |
$1K |
| 90651 |
|
502 |
486 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,338 |
1,238 |
$846.73 |
| 99383 |
|
13 |
12 |
$791.96 |
| 90707 |
|
196 |
192 |
$652.79 |
| 90716 |
|
241 |
235 |
$619.07 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
18 |
$563.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
18 |
$458.71 |
| 90715 |
|
226 |
224 |
$363.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
255 |
239 |
$342.06 |
| 99051 |
|
107 |
103 |
$264.60 |
| 90688 |
|
124 |
109 |
$262.28 |
| 86769 |
|
17 |
17 |
$244.92 |
| 90674 |
|
25 |
20 |
$230.60 |
| 3044F |
|
256 |
250 |
$200.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$167.36 |
| 90700 |
|
666 |
654 |
$161.70 |
| 93000 |
|
12 |
12 |
$139.29 |
| 99490 |
Ccm add 20min |
128 |
126 |
$119.59 |
| 92558 |
|
15 |
14 |
$110.85 |
| 90672 |
|
35 |
34 |
$80.33 |
| 90713 |
|
512 |
498 |
$39.51 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26 |
25 |
$10.81 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$1.93 |
| 90670 |
|
228 |
225 |
$0.00 |
| 90648 |
|
219 |
215 |
$0.00 |
| 90633 |
|
160 |
159 |
$0.00 |
| 99072 |
|
260 |
229 |
$0.00 |
| 90649 |
|
33 |
33 |
$0.00 |
| 3078F |
|
306 |
277 |
$0.00 |
| 99497 |
|
41 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
914 |
833 |
$0.00 |
| 3074F |
|
425 |
376 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90680 |
|
40 |
40 |
$0.00 |
| 3008F |
|
427 |
296 |
$0.00 |
| 90657 |
|
31 |
31 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |
| 3079F |
|
73 |
67 |
$0.00 |