| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,020 |
15,891 |
$944K |
| 99199 |
Unlisted special service, procedure or report |
75,526 |
49,781 |
$420K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,373 |
7,693 |
$378K |
| 76830 |
Ultrasound, transvaginal |
511 |
447 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,535 |
1,268 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
79 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
559 |
469 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
688 |
597 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
136 |
99 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
239 |
214 |
$6K |
| 90686 |
|
589 |
539 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
50 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
50 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
138 |
104 |
$3K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
37 |
30 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
52 |
27 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
24 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
18 |
18 |
$713.97 |
| 96127 |
|
167 |
152 |
$639.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
41 |
$588.56 |
| 81025 |
|
85 |
81 |
$553.73 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
13 |
$526.96 |
| 99441 |
|
23 |
14 |
$349.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
18 |
$333.36 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
112 |
$256.10 |
| 99307 |
|
19 |
13 |
$233.27 |
| 81002 |
|
85 |
75 |
$211.05 |
| 92551 |
|
198 |
178 |
$72.33 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$62.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
24 |
24 |
$16.96 |
| 99173 |
|
191 |
169 |
$13.75 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
51 |
39 |
$4.89 |
| G0008 |
Administration of influenza virus vaccine |
238 |
217 |
$1.27 |
| 90662 |
|
39 |
36 |
$0.00 |
| 99000 |
|
181 |
141 |
$0.00 |
| 99024 |
|
14 |
12 |
$0.00 |