| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,721 |
22,763 |
$1.75M |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,750 |
6,002 |
$652K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,887 |
6,582 |
$607K |
| 59426 |
|
4,502 |
3,174 |
$374K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,227 |
2,011 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,197 |
1,008 |
$71K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,063 |
1,854 |
$55K |
| 59425 |
|
533 |
427 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
396 |
356 |
$27K |
| 59410 |
|
15 |
14 |
$12K |
| 81003 |
|
10,164 |
7,049 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
186 |
142 |
$10K |
| 87428 |
|
2,117 |
1,847 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,077 |
1,540 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,986 |
3,398 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
429 |
330 |
$4K |
| 90686 |
|
309 |
277 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
835 |
689 |
$3K |
| 87807 |
|
839 |
713 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,032 |
914 |
$3K |
| 90670 |
|
850 |
788 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
46 |
41 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,565 |
1,337 |
$2K |
| 99051 |
|
228 |
202 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
79 |
74 |
$2K |
| 99462 |
|
70 |
44 |
$2K |
| 90723 |
|
780 |
682 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
473 |
392 |
$2K |
| 99460 |
|
21 |
18 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
65 |
29 |
$1K |
| 99219 |
|
17 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
62 |
$1K |
| 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 |
165 |
133 |
$846.87 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
48 |
48 |
$733.20 |
| 99217 |
|
17 |
13 |
$673.90 |
| 81025 |
|
726 |
602 |
$604.75 |
| 99307 |
|
108 |
107 |
$340.00 |
| 90647 |
|
483 |
465 |
$236.15 |
| 90685 |
|
14 |
14 |
$112.19 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
52 |
46 |
$6.00 |
| 1101F |
|
151 |
134 |
$0.00 |
| 0500F |
|
45 |
39 |
$0.00 |
| 0503F |
|
86 |
58 |
$0.00 |
| 85018 |
|
22 |
14 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
36 |
28 |
$0.00 |
| 3074F |
|
92 |
81 |
$0.00 |
| 3351F |
|
66 |
57 |
$0.00 |
| 90474 |
|
41 |
41 |
$0.00 |
| 90632 |
|
18 |
12 |
$0.00 |
| 0502F |
|
1,227 |
940 |
$0.00 |
| 90633 |
|
84 |
45 |
$0.00 |
| 90681 |
|
54 |
54 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
14 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
25 |
$0.00 |
| 3078F |
|
87 |
76 |
$0.00 |