| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,033 |
32,425 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,534 |
21,085 |
$824K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14,471 |
10,714 |
$167K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,801 |
4,691 |
$86K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,848 |
2,451 |
$78K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
566 |
504 |
$66K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,247 |
4,649 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
488 |
426 |
$25K |
| 87428 |
|
374 |
319 |
$20K |
| 95117 |
|
3,410 |
2,259 |
$18K |
| 81002 |
|
10,802 |
8,498 |
$14K |
| 93000 |
|
1,449 |
1,082 |
$10K |
| 90837 |
Psychotherapy, 53 minutes with patient |
192 |
80 |
$9K |
| 96127 |
|
2,998 |
2,280 |
$8K |
| 1160F |
|
11,198 |
7,864 |
$8K |
| 1159F |
|
11,215 |
7,872 |
$8K |
| 97802 |
|
2,305 |
1,745 |
$7K |
| 3008F |
|
10,187 |
7,061 |
$7K |
| 99402 |
|
2,430 |
1,820 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
633 |
476 |
$6K |
| 92551 |
|
1,818 |
1,371 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
115 |
103 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
527 |
280 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
471 |
366 |
$4K |
| 99173 |
|
2,070 |
1,547 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
56 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,032 |
1,747 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
233 |
186 |
$2K |
| 82962 |
|
2,246 |
1,741 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
23 |
18 |
$1K |
| 76536 |
|
45 |
40 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
14 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,248 |
2,740 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
13 |
$833.28 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
108 |
74 |
$725.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
559 |
472 |
$708.28 |
| 99406 |
|
144 |
107 |
$448.31 |
| 90756 |
|
45 |
40 |
$387.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
25 |
$219.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
13 |
$207.36 |
| 99490 |
Ccm add 20min |
53 |
38 |
$181.49 |
| 90688 |
|
26 |
23 |
$119.53 |
| 36416 |
|
179 |
140 |
$113.90 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
12 |
12 |
$101.94 |
| 94760 |
|
106 |
93 |
$101.33 |
| 99408 |
|
49 |
28 |
$73.34 |
| 81025 |
|
12 |
12 |
$46.21 |
| 90686 |
|
32 |
24 |
$22.80 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
26 |
$20.61 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
20 |
17 |
$19.78 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.51 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
796 |
617 |
$0.00 |
| 99072 |
|
365 |
324 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
161 |
133 |
$0.00 |
| 99080 |
|
381 |
242 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |