| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
23,947 |
21,016 |
$1.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126,641 |
118,386 |
$700K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,212 |
5,200 |
$216K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,004 |
5,937 |
$162K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35,070 |
32,797 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,893 |
12,465 |
$74K |
| 99201 |
|
851 |
830 |
$15K |
| 92551 |
|
17,675 |
17,358 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
157 |
$4K |
| 88141 |
|
61 |
51 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,580 |
3,562 |
$3K |
| 90715 |
|
1,756 |
1,739 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,945 |
5,833 |
$3K |
| 90670 |
|
1,885 |
1,839 |
$2K |
| 90688 |
|
2,156 |
1,993 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,767 |
3,668 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
846 |
843 |
$1K |
| 90698 |
|
922 |
909 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,097 |
5,051 |
$1K |
| 90686 |
|
4,640 |
4,632 |
$899.85 |
| 90744 |
|
426 |
425 |
$862.34 |
| 99441 |
|
550 |
519 |
$699.43 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,007 |
4,395 |
$682.22 |
| 93000 |
|
2,057 |
2,023 |
$657.58 |
| 3008F |
|
167,019 |
154,419 |
$618.12 |
| 90633 |
|
927 |
898 |
$615.89 |
| 96160 |
|
15,183 |
15,135 |
$588.22 |
| 90710 |
|
661 |
646 |
$576.22 |
| 90734 |
|
1,709 |
1,674 |
$548.05 |
| 99442 |
|
482 |
458 |
$509.51 |
| 85018 |
|
19,013 |
18,599 |
$458.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,594 |
12,074 |
$426.00 |
| 82962 |
|
4,612 |
4,289 |
$422.30 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
75 |
73 |
$418.65 |
| 86580 |
|
1,330 |
1,306 |
$416.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13,512 |
13,465 |
$402.42 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
885 |
688 |
$391.38 |
| 3078F |
|
132,256 |
123,503 |
$388.85 |
| 3074F |
|
150,754 |
140,500 |
$325.22 |
| 81003 |
|
20,845 |
20,065 |
$300.38 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
819 |
818 |
$217.60 |
| 99383 |
|
97 |
97 |
$217.12 |
| 90651 |
|
2,643 |
2,605 |
$214.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
688 |
605 |
$203.42 |
| 3079F |
|
43,818 |
41,752 |
$196.95 |
| 90680 |
|
90 |
90 |
$174.00 |
| G9920 |
Screening performed and negative |
10,763 |
10,728 |
$172.26 |
| 3077F |
|
18,352 |
17,276 |
$171.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
939 |
888 |
$164.88 |
| 99443 |
|
40 |
40 |
$142.74 |
| 3075F |
|
18,508 |
17,795 |
$119.53 |
| 99385 |
|
45 |
45 |
$112.96 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,893 |
1,891 |
$88.14 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
200 |
199 |
$81.20 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$77.78 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
336 |
326 |
$68.68 |
| 90648 |
|
26 |
26 |
$59.76 |
| 99384 |
|
62 |
62 |
$58.71 |
| 90700 |
|
24 |
24 |
$56.85 |
| 3725F |
|
34,160 |
34,023 |
$52.96 |
| 3080F |
|
12,538 |
11,810 |
$47.47 |
| 90619 |
|
753 |
752 |
$35.64 |
| 90756 |
|
662 |
662 |
$35.62 |
| 90656 |
|
98 |
98 |
$18.00 |
| 90621 |
|
487 |
487 |
$17.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,982 |
1,906 |
$10.40 |
| 81025 |
|
1,819 |
1,766 |
$10.33 |
| 90620 |
|
70 |
70 |
$8.91 |
| 99173 |
|
15,251 |
15,238 |
$1.97 |
| 99386 |
|
13 |
13 |
$1.88 |
| 1003F |
|
4,351 |
4,349 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
127 |
125 |
$0.00 |
| 3016F |
|
1,198 |
1,198 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
1,891 |
1,889 |
$0.00 |
| 69209 |
|
259 |
254 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
36 |
36 |
$0.00 |
| 99382 |
|
37 |
37 |
$0.00 |
| 2022F |
|
113 |
113 |
$0.00 |
| 1159F |
|
159 |
158 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
129 |
129 |
$0.00 |
| 1160F |
|
159 |
158 |
$0.00 |
| 1090F |
|
52 |
52 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
250 |
240 |
$0.00 |
| 1030F |
|
13,459 |
13,425 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
10,105 |
10,085 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
31 |
31 |
$0.00 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
5,740 |
3,410 |
$0.00 |
| 96161 |
|
24 |
24 |
$0.00 |
| 1125F |
|
143 |
142 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
38 |
38 |
$0.00 |
| 1170F |
|
237 |
235 |
$0.00 |
| 1111F |
|
230 |
230 |
$0.00 |
| 3072F |
|
87 |
87 |
$0.00 |
| 1126F |
|
138 |
137 |
$0.00 |
| 90696 |
|
151 |
144 |
$0.00 |
| G9921 |
No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified |
27 |
27 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
26 |
$0.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
19 |
19 |
$0.00 |