| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,046 |
9,108 |
$553K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,946 |
10,781 |
$503K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,391 |
2,014 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
448 |
379 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,276 |
1,892 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
328 |
273 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
730 |
620 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
366 |
283 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
256 |
209 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,887 |
1,393 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
102 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,458 |
1,065 |
$5K |
| 90670 |
|
338 |
288 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
582 |
456 |
$3K |
| 87428 |
|
61 |
58 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
64 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
26 |
$3K |
| 90686 |
|
263 |
224 |
$3K |
| 99307 |
|
914 |
808 |
$2K |
| 90647 |
|
119 |
100 |
$2K |
| 90648 |
|
65 |
65 |
$1K |
| 90688 |
|
136 |
117 |
$1K |
| 90723 |
|
44 |
43 |
$831.18 |
| 90651 |
|
56 |
45 |
$749.07 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
266 |
231 |
$708.66 |
| 90680 |
|
85 |
65 |
$696.43 |
| 36415 |
Collection of venous blood by venipuncture |
1,782 |
1,304 |
$671.90 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
75 |
58 |
$641.16 |
| 81003 |
|
455 |
297 |
$602.76 |
| 90715 |
|
33 |
31 |
$593.70 |
| 90734 |
|
28 |
28 |
$534.33 |
| 90716 |
|
29 |
27 |
$474.96 |
| 90707 |
|
28 |
26 |
$455.17 |
| 96127 |
|
172 |
126 |
$376.05 |
| 87081 |
|
48 |
45 |
$324.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
158 |
$315.00 |
| 87807 |
|
29 |
26 |
$275.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
52 |
29 |
$246.20 |
| 90633 |
|
12 |
12 |
$237.48 |
| 90681 |
|
13 |
12 |
$237.48 |
| 92551 |
|
63 |
58 |
$177.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
427 |
331 |
$160.01 |
| 99173 |
|
70 |
62 |
$160.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
18 |
16 |
$98.82 |
| 86308 |
|
22 |
17 |
$88.40 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
27 |
26 |
$84.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
71 |
52 |
$81.20 |
| 90620 |
|
13 |
12 |
$80.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
14 |
$72.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
44 |
26 |
$19.26 |
| 99381 |
|
16 |
14 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
13 |
12 |
$0.00 |
| 3074F |
|
16 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
14 |
$0.00 |