| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,075 |
11,273 |
$448K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,527 |
7,579 |
$386K |
| 99215 |
Prolong outpt/office vis |
2,330 |
1,909 |
$102K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,645 |
3,510 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,807 |
5,669 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,586 |
1,433 |
$27K |
| 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 |
1,584 |
1,281 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,416 |
1,220 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,321 |
1,035 |
$18K |
| 90832 |
Psychotherapy, 30 minutes with patient |
711 |
394 |
$18K |
| 96127 |
|
3,989 |
1,907 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
179 |
158 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
522 |
427 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,028 |
700 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,455 |
1,150 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
84 |
80 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
41 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
741 |
574 |
$3K |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
29 |
24 |
$2K |
| 80305 |
|
1,430 |
1,095 |
$2K |
| 99177 |
|
737 |
478 |
$2K |
| 92558 |
|
814 |
536 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
16 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
86 |
72 |
$924.44 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
718 |
545 |
$813.75 |
| 92552 |
|
39 |
37 |
$542.21 |
| 96160 |
|
176 |
176 |
$476.69 |
| 87807 |
|
74 |
58 |
$355.57 |
| 96161 |
|
102 |
89 |
$253.35 |
| 90686 |
|
49 |
46 |
$216.68 |
| 3078F |
|
221 |
163 |
$180.00 |
| 93000 |
|
47 |
30 |
$130.54 |
| 81003 |
|
149 |
99 |
$104.43 |
| 90756 |
|
49 |
36 |
$90.44 |
| 99173 |
|
39 |
37 |
$88.38 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
108 |
89 |
$64.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
101 |
68 |
$50.44 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
13 |
$50.16 |
| 3075F |
|
61 |
53 |
$40.00 |
| 3079F |
|
43 |
38 |
$10.00 |
| 3074F |
|
33 |
26 |
$10.00 |
| 90671 |
|
70 |
67 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
22 |
$0.00 |
| 90723 |
|
27 |
26 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90674 |
|
22 |
14 |
$0.00 |