| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,956 |
4,695 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,483 |
4,192 |
$188K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,369 |
1,145 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,716 |
1,190 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
986 |
763 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
196 |
182 |
$7K |
| 87428 |
|
150 |
109 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
374 |
179 |
$6K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
32 |
14 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
458 |
395 |
$4K |
| 96160 |
|
419 |
336 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,791 |
1,449 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
38 |
$2K |
| 99406 |
|
257 |
161 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$875.37 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$797.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
77 |
$776.37 |
| G3002 |
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) |
70 |
41 |
$646.45 |
| 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) |
437 |
271 |
$597.49 |
| 90688 |
|
64 |
55 |
$528.65 |
| 90686 |
|
84 |
69 |
$497.20 |
| 85018 |
|
269 |
221 |
$454.00 |
| 81003 |
|
271 |
210 |
$338.98 |
| 95115 |
|
70 |
24 |
$310.52 |
| 3078F |
|
4,021 |
3,161 |
$308.94 |
| 96127 |
|
104 |
81 |
$281.68 |
| 3077F |
|
1,310 |
969 |
$281.18 |
| 3079F |
|
1,587 |
1,261 |
$261.18 |
| 3074F |
|
3,745 |
2,952 |
$241.31 |
| 92552 |
|
12 |
12 |
$187.06 |
| 1125F |
|
3,730 |
2,796 |
$180.00 |
| 1126F |
|
2,811 |
2,180 |
$170.00 |
| 3075F |
|
871 |
724 |
$150.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$134.37 |
| 3080F |
|
548 |
404 |
$130.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
96 |
77 |
$92.15 |
| 94760 |
|
240 |
186 |
$78.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
145 |
121 |
$62.99 |
| 36416 |
|
64 |
53 |
$56.95 |
| 90658 |
|
18 |
13 |
$54.72 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
37 |
24 |
$26.96 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
23 |
14 |
$18.16 |
| 81001 |
|
17 |
14 |
$14.03 |
| 1033F |
|
2,880 |
2,195 |
$0.00 |
| 1032F |
|
1,222 |
823 |
$0.00 |
| 1159F |
|
17 |
13 |
$0.00 |
| 1160F |
|
18 |
14 |
$0.00 |
| 3049F |
|
276 |
214 |
$0.00 |
| 90694 |
|
18 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
18 |
$0.00 |
| 3008F |
|
18 |
14 |
$0.00 |
| 1170F |
|
41 |
27 |
$0.00 |