| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,186 |
8,329 |
$514K |
| S8301 |
Infection control supplies, not otherwise specified |
8,196 |
6,380 |
$211K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,787 |
2,522 |
$117K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,380 |
3,801 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,470 |
2,201 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,162 |
1,074 |
$88K |
| 99215 |
Prolong outpt/office vis |
998 |
869 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
915 |
817 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
822 |
780 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,318 |
3,736 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,648 |
2,889 |
$58K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,998 |
2,695 |
$43K |
| 87634 |
|
667 |
620 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
483 |
422 |
$39K |
| 99358 |
Prolong nursin fac eval 15m |
736 |
670 |
$39K |
| 99429 |
|
636 |
612 |
$21K |
| 97802 |
|
3,999 |
3,584 |
$19K |
| 99000 |
|
1,346 |
1,160 |
$14K |
| 99417 |
Prolong home eval add 15m |
1,149 |
893 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
510 |
476 |
$12K |
| 90461 |
|
1,654 |
1,286 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
864 |
534 |
$7K |
| 92020 |
|
703 |
647 |
$6K |
| 92551 |
|
650 |
581 |
$5K |
| 99408 |
|
568 |
513 |
$4K |
| 81002 |
|
847 |
717 |
$2K |
| 99001 |
|
458 |
392 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 99072 |
|
432 |
372 |
$2K |
| 96160 |
|
637 |
550 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
76 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| G2011 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes |
237 |
186 |
$1K |
| 97169 |
|
40 |
31 |
$448.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$191.58 |
| 90734 |
|
182 |
153 |
$165.30 |
| 99051 |
|
20 |
20 |
$128.63 |
| 96161 |
|
44 |
38 |
$71.43 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,067 |
1,863 |
$30.00 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
133 |
89 |
$20.59 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
24 |
$10.07 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
13 |
$4.89 |
| 90686 |
|
779 |
647 |
$0.22 |
| 90620 |
|
430 |
377 |
$0.13 |
| 90671 |
|
39 |
39 |
$0.12 |
| 90651 |
|
201 |
178 |
$0.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,432 |
2,239 |
$0.10 |
| 90710 |
|
335 |
303 |
$0.02 |
| 4037F |
|
1,185 |
1,041 |
$0.01 |
| 90670 |
|
723 |
676 |
$0.01 |
| 90685 |
|
423 |
400 |
$0.01 |
| 96127 |
|
581 |
531 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
475 |
442 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,242 |
1,019 |
$0.00 |
| 90723 |
|
258 |
239 |
$0.00 |
| 36416 |
|
601 |
525 |
$0.00 |
| 90680 |
|
199 |
184 |
$0.00 |
| 90696 |
|
57 |
54 |
$0.00 |
| 90698 |
|
16 |
15 |
$0.00 |
| 99070 |
|
136 |
128 |
$0.00 |
| G8712 |
Antibiotic not prescribed or dispensed |
3,663 |
3,303 |
$0.00 |
| 99415 |
Prolong outpt/office vis |
126 |
87 |
$0.00 |
| 1033F |
|
3,637 |
3,323 |
$0.00 |
| 90648 |
|
561 |
529 |
$0.00 |
| 99173 |
|
785 |
708 |
$0.00 |
| 90633 |
|
297 |
270 |
$0.00 |
| 4035F |
|
622 |
544 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
903 |
765 |
$0.00 |
| 99401 |
|
36 |
30 |
$0.00 |
| 90715 |
|
20 |
16 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |