| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107,511 |
89,571 |
$3.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56,859 |
48,473 |
$2.40M |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,196 |
4,812 |
$217K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,880 |
7,856 |
$195K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,999 |
4,493 |
$180K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,591 |
2,125 |
$170K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,536 |
2,155 |
$168K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,572 |
6,557 |
$148K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,861 |
1,424 |
$126K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,064 |
15,682 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,523 |
1,234 |
$89K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,189 |
6,585 |
$73K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,294 |
2,070 |
$69K |
| 3008F |
|
190,907 |
157,662 |
$54K |
| 1159F |
|
75,568 |
62,593 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,753 |
5,251 |
$44K |
| 3074F |
|
127,935 |
106,704 |
$42K |
| 1160F |
|
58,165 |
47,876 |
$41K |
| 3078F |
|
117,451 |
98,035 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,792 |
1,436 |
$38K |
| 1126F |
|
63,086 |
53,746 |
$37K |
| 92551 |
|
5,042 |
3,978 |
$34K |
| 99215 |
Prolong outpt/office vis |
602 |
489 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
27,389 |
23,528 |
$32K |
| 99384 |
|
285 |
210 |
$27K |
| 1125F |
|
44,224 |
37,410 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,028 |
635 |
$23K |
| 3079F |
|
45,277 |
38,576 |
$23K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
880 |
371 |
$22K |
| 1158F |
|
23,494 |
19,898 |
$21K |
| 90686 |
|
3,706 |
3,072 |
$20K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
673 |
227 |
$16K |
| 99174 |
|
2,170 |
1,749 |
$15K |
| 99173 |
|
1,883 |
1,486 |
$12K |
| 87807 |
|
962 |
887 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
206 |
197 |
$9K |
| 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 |
12,509 |
11,794 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,465 |
4,863 |
$8K |
| 3075F |
|
17,479 |
15,093 |
$8K |
| 81002 |
|
3,343 |
2,696 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
442 |
391 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
931 |
719 |
$6K |
| 3077F |
|
9,915 |
8,446 |
$5K |
| 1157F |
|
6,565 |
5,489 |
$4K |
| 1170F |
|
4,652 |
3,988 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
38 |
$2K |
| D0330 |
Panoramic radiographic image |
66 |
65 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
83 |
83 |
$2K |
| 3080F |
|
2,436 |
2,110 |
$2K |
| 85018 |
|
644 |
484 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
290 |
254 |
$1K |
| 99383 |
|
15 |
13 |
$1K |
| 36416 |
|
1,088 |
892 |
$1K |
| 86580 |
|
263 |
172 |
$986.90 |
| 90697 |
|
229 |
185 |
$850.00 |
| 96160 |
|
460 |
262 |
$759.50 |
| 99381 |
|
17 |
12 |
$577.30 |
| 83655 |
|
66 |
57 |
$555.87 |
| 3044F |
|
6,464 |
5,260 |
$520.00 |
| 90461 |
|
3,225 |
2,270 |
$505.01 |
| 85014 |
|
214 |
170 |
$479.10 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$360.80 |
| 90677 |
|
285 |
241 |
$316.00 |
| 81025 |
|
60 |
49 |
$297.90 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
55 |
36 |
$225.70 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
254 |
206 |
$202.88 |
| 1111F |
|
148 |
135 |
$200.00 |
| 0064A |
|
14 |
12 |
$160.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
129 |
105 |
$152.99 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$149.55 |
| 90656 |
|
12 |
12 |
$118.23 |
| 90662 |
|
30 |
24 |
$74.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$70.72 |
| 86403 |
|
47 |
37 |
$59.37 |
| 3061F |
|
326 |
287 |
$50.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
12 |
$45.45 |
| G0008 |
Administration of influenza virus vaccine |
674 |
595 |
$42.00 |
| 90672 |
|
18 |
12 |
$28.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
24 |
14 |
$9.28 |
| 1034F |
|
1,064 |
896 |
$8.32 |
| 3048F |
|
10,040 |
8,284 |
$0.02 |
| 91301 |
|
56 |
53 |
$0.00 |
| 90723 |
|
162 |
116 |
$0.00 |
| 1000F |
|
209 |
187 |
$0.00 |
| 3049F |
|
751 |
607 |
$0.00 |
| 4000F |
|
101 |
79 |
$0.00 |
| 90651 |
|
214 |
139 |
$0.00 |
| 0011A |
|
14 |
14 |
$0.00 |
| 0012A |
|
18 |
18 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$0.00 |
| 90670 |
|
797 |
616 |
$0.00 |
| 90734 |
|
135 |
78 |
$0.00 |
| 99408 |
|
1,890 |
1,627 |
$0.00 |
| 3050F |
|
185 |
150 |
$0.00 |
| 90648 |
|
329 |
249 |
$0.00 |
| 99499 |
|
39 |
39 |
$0.00 |
| 90633 |
|
43 |
30 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90685 |
|
18 |
16 |
$0.00 |
| 90715 |
|
22 |
12 |
$0.00 |
| 3045F |
|
15 |
14 |
$0.00 |