| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,248 |
1,672 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
426 |
391 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
481 |
429 |
$33K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,438 |
1,306 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
412 |
345 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
151 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
121 |
113 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
656 |
280 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
121 |
108 |
$2K |
| 90670 |
|
187 |
184 |
$2K |
| 90686 |
|
139 |
133 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
570 |
480 |
$1K |
| 90698 |
|
109 |
105 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$681.84 |
| 86318 |
|
116 |
82 |
$629.58 |
| 90688 |
|
56 |
52 |
$472.36 |
| 90744 |
|
27 |
25 |
$239.00 |
| 90734 |
|
15 |
14 |
$133.84 |
| 90633 |
|
14 |
13 |
$124.28 |
| 90680 |
|
12 |
12 |
$114.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
95 |
68 |
$88.00 |
| 87807 |
|
26 |
25 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
302 |
163 |
$0.00 |