| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,066 |
25,121 |
$1.79M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,858 |
17,161 |
$1.54M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14,558 |
14,232 |
$997K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20,074 |
17,267 |
$571K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,265 |
1,230 |
$118K |
| 99215 |
Prolong outpt/office vis |
998 |
938 |
$104K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,357 |
3,047 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,240 |
2,078 |
$97K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,234 |
7,925 |
$71K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
971 |
828 |
$68K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,831 |
2,382 |
$52K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
726 |
718 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
1,653 |
1,559 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,245 |
2,179 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
255 |
244 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
261 |
246 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
5,201 |
4,861 |
$16K |
| S9083 |
Global fee urgent care centers |
316 |
272 |
$13K |
| 97597 |
|
289 |
222 |
$11K |
| 81025 |
|
1,866 |
1,751 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,778 |
1,521 |
$9K |
| 99205 |
Prolong outpt/office vis |
71 |
70 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
313 |
294 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
848 |
765 |
$7K |
| 93000 |
|
1,065 |
1,030 |
$7K |
| 81002 |
|
3,514 |
3,303 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
161 |
158 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
847 |
679 |
$6K |
| 99001 |
|
7,637 |
7,168 |
$6K |
| 81001 |
|
3,849 |
3,512 |
$5K |
| 20552 |
|
179 |
160 |
$5K |
| 99201 |
|
132 |
132 |
$4K |
| 72100 |
|
189 |
178 |
$4K |
| 29540 |
|
270 |
252 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
66 |
27 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,007 |
3,617 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
735 |
690 |
$3K |
| 86580 |
|
583 |
533 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
99 |
97 |
$3K |
| 99000 |
|
3,796 |
3,597 |
$3K |
| 87631 |
|
767 |
681 |
$3K |
| 73560 |
|
186 |
175 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,392 |
3,135 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
136 |
124 |
$2K |
| 99401 |
|
120 |
117 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
112 |
97 |
$2K |
| 73120 |
|
126 |
124 |
$2K |
| 80305 |
|
229 |
216 |
$2K |
| 99473 |
|
230 |
220 |
$1K |
| 86328 |
|
57 |
53 |
$1K |
| 73630 |
|
75 |
70 |
$1K |
| 73130 |
|
75 |
68 |
$1K |
| 87428 |
|
38 |
34 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,160 |
994 |
$1K |
| 80306 |
|
158 |
140 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,307 |
1,192 |
$1K |
| 83037 |
|
186 |
179 |
$782.28 |
| 57410 |
|
59 |
48 |
$744.86 |
| 90686 |
|
93 |
90 |
$713.32 |
| 73620 |
|
67 |
67 |
$700.54 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
110 |
108 |
$676.92 |
| 0001A |
|
35 |
32 |
$605.60 |
| 29280 |
|
66 |
54 |
$550.31 |
| 29530 |
|
41 |
39 |
$512.36 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
26 |
26 |
$482.60 |
| 73600 |
|
31 |
28 |
$471.66 |
| 82962 |
|
249 |
212 |
$468.64 |
| 73020 |
|
49 |
45 |
$460.28 |
| 69210 |
|
14 |
14 |
$439.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
125 |
113 |
$435.60 |
| 96127 |
|
173 |
163 |
$431.25 |
| 87070 |
|
176 |
154 |
$348.94 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
70 |
70 |
$345.30 |
| 74019 |
|
15 |
15 |
$266.15 |
| 99406 |
|
68 |
64 |
$251.42 |
| 90715 |
|
77 |
77 |
$238.17 |
| 29130 |
|
12 |
12 |
$229.02 |
| 90658 |
|
12 |
12 |
$191.78 |
| 29260 |
|
13 |
12 |
$176.91 |
| 82948 |
|
107 |
104 |
$151.21 |
| 99459 |
|
14 |
14 |
$148.57 |
| 87807 |
|
15 |
14 |
$131.29 |
| 73030 |
|
12 |
12 |
$125.26 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
186 |
169 |
$118.18 |
| 36410 |
|
1,360 |
1,215 |
$105.73 |
| 15853 |
|
12 |
12 |
$88.35 |
| 99407 |
|
14 |
13 |
$87.35 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
383 |
357 |
$78.58 |
| 99173 |
|
207 |
205 |
$75.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
12 |
$74.48 |
| 90653 |
|
16 |
14 |
$59.53 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
484 |
413 |
$50.05 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
91 |
86 |
$48.49 |
| 96160 |
|
19 |
19 |
$30.02 |
| 86317 |
|
13 |
12 |
$24.82 |
| 90656 |
|
12 |
12 |
$22.35 |
| 81000 |
|
69 |
67 |
$13.32 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
16 |
15 |
$11.00 |
| 94760 |
|
946 |
757 |
$8.40 |
| 81005 |
|
13 |
12 |
$7.16 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
53 |
49 |
$2.32 |
| 3077F |
|
1,097 |
1,017 |
$1.84 |
| 3080F |
|
898 |
834 |
$1.43 |
| 3079F |
|
249 |
241 |
$0.39 |
| 3075F |
|
263 |
258 |
$0.35 |
| 3351F |
|
66 |
65 |
$0.11 |
| 3078F |
|
81 |
71 |
$0.05 |
| 3051F |
|
14 |
12 |
$0.05 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
272 |
266 |
$0.02 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
15 |
$0.01 |
| 4004F |
|
186 |
178 |
$0.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
64 |
61 |
$0.00 |
| 3044F |
|
85 |
73 |
$0.00 |
| 90651 |
|
57 |
57 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
32 |
31 |
$0.00 |
| 90619 |
|
29 |
28 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
16 |
16 |
$0.00 |
| 3074F |
|
44 |
38 |
$0.00 |
| 90716 |
|
27 |
26 |
$0.00 |
| 1111F |
|
21 |
20 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
14 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
220 |
212 |
$0.00 |
| G8712 |
Antibiotic not prescribed or dispensed |
169 |
109 |
$0.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
43 |
41 |
$0.00 |
| 90461 |
|
108 |
107 |
$0.00 |
| 99080 |
|
143 |
135 |
$0.00 |
| 90707 |
|
26 |
25 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
152 |
136 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
66 |
65 |
$0.00 |
| 90633 |
|
19 |
19 |
$0.00 |
| 90713 |
|
17 |
17 |
$0.00 |
| 97602 |
|
14 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
18 |
17 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |