| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,367 |
16,460 |
$1.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,178 |
20,059 |
$1.11M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
552 |
347 |
$676K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,237 |
4,671 |
$451K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,689 |
4,768 |
$267K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,881 |
2,855 |
$264K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
6,050 |
4,459 |
$152K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,450 |
1,764 |
$148K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,127 |
1,381 |
$128K |
| 59510 |
|
97 |
64 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,634 |
1,088 |
$109K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,294 |
1,555 |
$106K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,654 |
1,155 |
$102K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,010 |
1,605 |
$90K |
| 76801 |
|
1,492 |
1,021 |
$90K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,536 |
7,481 |
$58K |
| 59025 |
Fetal non-stress test |
1,247 |
775 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,101 |
828 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
496 |
348 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,031 |
1,625 |
$27K |
| 99215 |
Prolong outpt/office vis |
249 |
165 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,012 |
1,488 |
$22K |
| 87634 |
|
475 |
385 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
322 |
203 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,224 |
1,421 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,104 |
820 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
171 |
109 |
$12K |
| 99460 |
|
207 |
161 |
$11K |
| 99173 |
|
3,123 |
1,839 |
$10K |
| 92551 |
|
1,251 |
916 |
$8K |
| 96127 |
|
1,482 |
934 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
165 |
119 |
$6K |
| 0500F |
|
798 |
593 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,295 |
411 |
$6K |
| 81003 |
|
3,987 |
2,501 |
$5K |
| 81025 |
|
1,035 |
690 |
$5K |
| 76830 |
Ultrasound, transvaginal |
56 |
48 |
$4K |
| 92558 |
|
1,687 |
927 |
$3K |
| 59430 |
|
98 |
71 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
198 |
170 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
226 |
191 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
103 |
$3K |
| 99381 |
|
41 |
24 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
33 |
12 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$2K |
| 54150 |
|
19 |
12 |
$2K |
| 0503F |
|
896 |
657 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
46 |
34 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
14 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
237 |
142 |
$1K |
| 99385 |
|
26 |
13 |
$1K |
| 99459 |
|
97 |
81 |
$996.67 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
14 |
$930.52 |
| 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 |
207 |
127 |
$873.90 |
| 90474 |
|
108 |
86 |
$729.90 |
| 90461 |
|
6,301 |
2,586 |
$553.80 |
| 90651 |
|
122 |
87 |
$542.01 |
| 0011A |
|
19 |
12 |
$507.76 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
133 |
104 |
$395.43 |
| 87807 |
|
35 |
28 |
$371.35 |
| 90686 |
|
599 |
435 |
$304.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
669 |
469 |
$199.69 |
| 3078F |
|
3,952 |
3,029 |
$90.23 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
86 |
60 |
$88.35 |
| 3074F |
|
4,050 |
3,141 |
$60.23 |
| 82247 |
|
14 |
12 |
$59.39 |
| 3079F |
|
504 |
400 |
$30.00 |
| 3008F |
|
37,430 |
24,463 |
$3.60 |
| 90677 |
|
1,008 |
906 |
$1.07 |
| 90648 |
|
693 |
626 |
$0.64 |
| 3077F |
|
132 |
92 |
$0.26 |
| 90633 |
|
640 |
503 |
$0.08 |
| 1159F |
|
6,568 |
5,210 |
$0.01 |
| 90744 |
|
89 |
69 |
$0.01 |
| 90671 |
|
1,167 |
778 |
$0.00 |
| 90670 |
|
1,541 |
946 |
$0.00 |
| 1160F |
|
5,290 |
4,367 |
$0.00 |
| 0502F |
|
8,731 |
5,048 |
$0.00 |
| 90734 |
|
46 |
38 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
35 |
33 |
$0.00 |
| 90707 |
|
21 |
15 |
$0.00 |
| 90680 |
|
1,864 |
1,312 |
$0.00 |
| 90723 |
|
510 |
453 |
$0.00 |
| 3061F |
|
6,475 |
4,332 |
$0.00 |
| 90697 |
|
1,230 |
777 |
$0.00 |
| 3075F |
|
102 |
86 |
$0.00 |
| 4010F |
|
57 |
40 |
$0.00 |
| 1036F |
|
372 |
285 |
$0.00 |
| 3080F |
|
20 |
12 |
$0.00 |
| 90698 |
|
145 |
112 |
$0.00 |
| 99024 |
|
13 |
12 |
$0.00 |
| 3044F |
|
47 |
44 |
$0.00 |
| 90716 |
|
38 |
27 |
$0.00 |