| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,151 |
41,536 |
$2.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,874 |
15,606 |
$1.44M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,715 |
17,635 |
$307K |
| 91322 |
|
3,106 |
2,605 |
$258K |
| 90716 |
|
1,888 |
1,657 |
$241K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,509 |
2,885 |
$230K |
| 99385 |
|
2,794 |
2,409 |
$220K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,043 |
1,748 |
$151K |
| 90480 |
|
3,811 |
3,380 |
$148K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,548 |
6,337 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,667 |
1,510 |
$130K |
| 90686 |
|
18,496 |
13,351 |
$128K |
| 99050 |
|
24,248 |
17,499 |
$119K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,247 |
1,102 |
$102K |
| 90746 |
|
2,036 |
1,799 |
$99K |
| 99383 |
|
1,093 |
991 |
$90K |
| 0012A |
|
2,482 |
2,348 |
$87K |
| 99386 |
|
806 |
731 |
$83K |
| 0011A |
|
2,880 |
2,571 |
$79K |
| 99384 |
|
827 |
721 |
$75K |
| 90707 |
|
1,027 |
888 |
$72K |
| 90714 |
|
2,315 |
1,953 |
$61K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
675 |
622 |
$60K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
955 |
743 |
$48K |
| 0013A |
|
1,860 |
1,276 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
593 |
515 |
$44K |
| 90713 |
|
1,387 |
1,185 |
$40K |
| 0134A |
|
920 |
737 |
$39K |
| 99382 |
|
393 |
348 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
13,010 |
10,531 |
$28K |
| 90715 |
|
619 |
563 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
178 |
151 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,673 |
1,314 |
$18K |
| Q3014 |
Telehealth originating site facility fee |
1,370 |
952 |
$17K |
| 0071A |
|
341 |
289 |
$16K |
| 0001A |
|
390 |
273 |
$15K |
| 0072A |
|
318 |
261 |
$15K |
| 99000 |
|
22,681 |
16,968 |
$15K |
| 0002A |
|
294 |
219 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
346 |
288 |
$10K |
| 81025 |
|
1,625 |
1,252 |
$9K |
| 99397 |
|
92 |
85 |
$9K |
| 0141A |
|
113 |
98 |
$6K |
| 99215 |
Prolong outpt/office vis |
52 |
43 |
$5K |
| 0003A |
|
244 |
132 |
$4K |
| 91321 |
|
1,202 |
824 |
$4K |
| 0144A |
|
52 |
43 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
235 |
194 |
$3K |
| 0064A |
|
42 |
38 |
$1K |
| 81002 |
|
413 |
328 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
38 |
$1K |
| 0091A |
|
14 |
14 |
$864.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
17 |
$675.82 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
13 |
$633.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
281 |
251 |
$295.65 |
| 91307 |
|
868 |
613 |
$200.00 |
| 91301 |
|
8,790 |
6,187 |
$175.03 |
| 91314 |
|
288 |
174 |
$70.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
349 |
255 |
$35.00 |
| 82962 |
|
15 |
12 |
$31.44 |
| 90700 |
|
27 |
14 |
$30.82 |
| 90685 |
|
25 |
12 |
$19.20 |
| 91300 |
|
1,182 |
706 |
$0.08 |
| 91313 |
|
1,331 |
756 |
$0.00 |
| 91311 |
|
194 |
127 |
$0.00 |
| 86328 |
|
37 |
26 |
$0.00 |
| 91309 |
|
113 |
70 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
111 |
109 |
$0.00 |
| 91306 |
|
45 |
25 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 0094A |
|
30 |
26 |
$0.00 |