| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,153 |
26,269 |
$2.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,900 |
7,790 |
$514K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
11,370 |
7,991 |
$307K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,294 |
3,432 |
$295K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18,419 |
6,856 |
$175K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
7,741 |
4,009 |
$148K |
| 99199 |
Unlisted special service, procedure or report |
48,236 |
32,476 |
$143K |
| 99336 |
|
1,852 |
1,278 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,119 |
3,365 |
$47K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,602 |
696 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
357 |
300 |
$30K |
| 87428 |
|
752 |
375 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
204 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
637 |
515 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,304 |
1,046 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
357 |
295 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,479 |
1,182 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
93 |
$13K |
| T1015 |
Clinic visit/encounter, all-inclusive |
881 |
335 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
512 |
388 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
95 |
$9K |
| 99215 |
Prolong outpt/office vis |
75 |
45 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
749 |
580 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
101 |
$4K |
| 99349 |
|
104 |
42 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
75 |
68 |
$2K |
| 99335 |
|
56 |
49 |
$2K |
| 87807 |
|
288 |
158 |
$2K |
| 92551 |
|
607 |
502 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
114 |
103 |
$1K |
| 85018 |
|
926 |
717 |
$1K |
| 99441 |
|
68 |
46 |
$970.34 |
| 99310 |
Prolong nursin fac eval 15m |
16 |
13 |
$667.04 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
153 |
125 |
$625.36 |
| 90651 |
|
83 |
67 |
$468.00 |
| 99173 |
|
1,054 |
843 |
$466.38 |
| 81003 |
|
199 |
153 |
$276.31 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
233 |
148 |
$270.60 |
| 90734 |
|
31 |
24 |
$252.52 |
| 99307 |
|
39 |
38 |
$250.14 |
| 99497 |
|
55 |
48 |
$204.23 |
| 99000 |
|
174 |
131 |
$97.02 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
26 |
$56.70 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
50 |
$20.59 |
| 90688 |
|
640 |
492 |
$15.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
39 |
37 |
$4.64 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
148 |
129 |
$0.00 |
| 1000F |
|
1,025 |
874 |
$0.00 |
| 3074F |
|
18 |
16 |
$0.00 |
| 90686 |
|
50 |
30 |
$0.00 |
| 90620 |
|
20 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
20,449 |
15,856 |
$0.00 |
| 90672 |
|
48 |
42 |
$0.00 |
| 99072 |
|
328 |
308 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 3078F |
|
18 |
16 |
$0.00 |
| 90461 |
|
22 |
12 |
$0.00 |