| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,750 |
10,033 |
$549K |
| 99233 |
Prolong inpt eval add15 m |
8,841 |
1,355 |
$391K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,634 |
6,968 |
$259K |
| 99223 |
Prolong inpt eval add15 m |
1,053 |
985 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,980 |
3,148 |
$89K |
| 99444 |
|
1,450 |
345 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
756 |
730 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,903 |
2,291 |
$35K |
| 96130 |
|
527 |
474 |
$28K |
| 99423 |
|
568 |
141 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
322 |
297 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
333 |
315 |
$27K |
| 36410 |
|
2,221 |
2,030 |
$26K |
| 86769 |
|
392 |
369 |
$22K |
| 86328 |
|
341 |
312 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
215 |
201 |
$16K |
| 81025 |
|
2,391 |
2,050 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,108 |
861 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
185 |
173 |
$13K |
| 81002 |
|
4,315 |
3,594 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
152 |
136 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
102 |
93 |
$11K |
| 93880 |
|
96 |
88 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
197 |
178 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
215 |
205 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
89 |
$8K |
| 93000 |
|
750 |
706 |
$8K |
| 95816 |
|
45 |
33 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
159 |
151 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
420 |
406 |
$5K |
| 99385 |
|
64 |
64 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
39 |
39 |
$4K |
| 81003 |
|
1,898 |
1,632 |
$3K |
| 0001A |
|
69 |
68 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
142 |
128 |
$2K |
| 99384 |
|
34 |
31 |
$2K |
| 95957 |
|
43 |
32 |
$2K |
| 0002A |
|
48 |
48 |
$2K |
| 99490 |
Ccm add 20min |
975 |
964 |
$2K |
| 99000 |
|
244 |
234 |
$2K |
| 99001 |
|
484 |
417 |
$2K |
| 90461 |
|
223 |
180 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
29 |
29 |
$2K |
| 92585 |
|
38 |
30 |
$1K |
| 0011A |
|
62 |
54 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
58 |
12 |
$1K |
| 0012A |
|
34 |
32 |
$1K |
| 95943 |
|
18 |
17 |
$1K |
| 95923 |
|
17 |
16 |
$1K |
| 95930 |
|
40 |
32 |
$1K |
| 96132 |
|
41 |
32 |
$937.17 |
| 95886 |
|
15 |
12 |
$823.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
93 |
88 |
$736.21 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
601 |
546 |
$581.02 |
| 90658 |
|
43 |
41 |
$534.66 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
62 |
61 |
$449.90 |
| 93923 |
|
26 |
21 |
$404.16 |
| 92551 |
|
159 |
150 |
$348.38 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
59 |
53 |
$310.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
46 |
44 |
$281.95 |
| 93040 |
|
61 |
49 |
$260.50 |
| 99439 |
|
15 |
15 |
$223.55 |
| 96103 |
|
49 |
42 |
$180.42 |
| 96160 |
|
123 |
120 |
$179.19 |
| 94010 |
|
12 |
12 |
$169.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
340 |
326 |
$168.18 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
56 |
47 |
$160.69 |
| 99072 |
|
281 |
250 |
$156.00 |
| 90734 |
|
65 |
62 |
$140.00 |
| 87400 |
|
44 |
40 |
$130.57 |
| 90715 |
|
43 |
40 |
$107.10 |
| 90686 |
|
58 |
53 |
$37.82 |
| 90670 |
|
129 |
121 |
$36.00 |
| 36416 |
|
801 |
736 |
$5.25 |
| 96127 |
|
613 |
562 |
$4.87 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
484 |
424 |
$0.18 |
| 82962 |
|
289 |
247 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
813 |
728 |
$0.00 |
| 90688 |
|
28 |
28 |
$0.00 |
| 3074F |
|
67 |
59 |
$0.00 |
| 96139 |
|
41 |
32 |
$0.00 |
| 93922 |
|
20 |
19 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90660 |
|
14 |
14 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
12 |
12 |
$0.00 |
| 99173 |
|
322 |
297 |
$0.00 |
| 96138 |
|
39 |
30 |
$0.00 |
| 90633 |
|
78 |
73 |
$0.00 |
| 90649 |
|
44 |
43 |
$0.00 |
| 90710 |
|
51 |
47 |
$0.00 |
| 90653 |
|
13 |
12 |
$0.00 |
| 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 |
18 |
18 |
$0.00 |
| 90707 |
|
17 |
16 |
$0.00 |
| 90700 |
|
22 |
22 |
$0.00 |
| 92546 |
|
13 |
12 |
$0.00 |