| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109,263 |
100,717 |
$4.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,448 |
73,437 |
$2.48M |
| 87428 |
|
14,078 |
13,273 |
$493K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,533 |
2,407 |
$211K |
| 99215 |
Prolong outpt/office vis |
2,759 |
2,590 |
$183K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,769 |
9,285 |
$139K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,520 |
2,383 |
$139K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,335 |
1,171 |
$138K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,369 |
5,043 |
$124K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,483 |
6,198 |
$117K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,772 |
5,129 |
$78K |
| 99401 |
|
2,649 |
2,490 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,145 |
4,868 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
467 |
448 |
$34K |
| 90674 |
|
1,037 |
1,007 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,212 |
1,109 |
$18K |
| 96127 |
|
4,493 |
4,215 |
$14K |
| 90686 |
|
1,156 |
1,099 |
$13K |
| 81025 |
|
1,586 |
1,510 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
814 |
599 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
649 |
604 |
$10K |
| 99406 |
|
1,134 |
1,040 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
581 |
544 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
123 |
$7K |
| 99385 |
|
101 |
91 |
$6K |
| 90651 |
|
29 |
27 |
$6K |
| 99402 |
|
238 |
230 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
237 |
158 |
$6K |
| 87905 |
|
485 |
465 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
796 |
758 |
$4K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
43 |
$3K |
| 90707 |
|
66 |
66 |
$3K |
| 90656 |
|
131 |
129 |
$2K |
| 90715 |
|
133 |
127 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
47 |
43 |
$2K |
| 93000 |
|
123 |
114 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
45 |
37 |
$2K |
| 90750 |
|
14 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
637 |
565 |
$2K |
| 90716 |
|
12 |
12 |
$2K |
| 91320 |
|
14 |
13 |
$2K |
| 80305 |
|
147 |
129 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
73 |
$2K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,029 |
849 |
$1K |
| 82947 |
|
480 |
440 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,534 |
1,494 |
$1K |
| 81003 |
|
696 |
643 |
$1K |
| 90739 |
|
12 |
12 |
$976.17 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,048 |
977 |
$973.44 |
| 71046 |
Radiologic examination, chest; 2 views |
76 |
73 |
$860.55 |
| 90661 |
|
24 |
24 |
$784.99 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
456 |
419 |
$710.73 |
| 90746 |
|
12 |
12 |
$671.14 |
| 82044 |
|
133 |
124 |
$646.17 |
| 90682 |
|
13 |
13 |
$558.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
296 |
279 |
$544.41 |
| 90480 |
|
14 |
13 |
$490.40 |
| 99407 |
|
29 |
24 |
$392.00 |
| 99310 |
Prolong nursin fac eval 15m |
14 |
13 |
$374.68 |
| 81002 |
|
206 |
188 |
$355.82 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
16 |
16 |
$312.45 |
| 81001 |
|
127 |
114 |
$248.19 |
| 90756 |
|
15 |
14 |
$246.33 |
| 82043 |
|
52 |
47 |
$221.73 |
| 82570 |
|
42 |
38 |
$162.30 |
| 90694 |
|
26 |
26 |
$144.10 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$84.70 |
| 3044F |
|
66 |
64 |
$80.11 |
| 3008F |
|
63,286 |
58,766 |
$76.54 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
13 |
$74.94 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
15 |
$64.41 |
| 96160 |
|
25 |
25 |
$52.40 |
| 82962 |
|
16 |
15 |
$30.52 |
| 3074F |
|
5,650 |
5,292 |
$10.85 |
| 3079F |
|
3,448 |
3,263 |
$8.60 |
| 3078F |
|
3,320 |
3,135 |
$5.36 |
| 3077F |
|
1,293 |
1,198 |
$3.53 |
| 3075F |
|
305 |
293 |
$0.83 |
| 3080F |
|
339 |
320 |
$0.67 |
| 1034F |
|
31 |
24 |
$0.04 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
33 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| 3351F |
|
27 |
26 |
$0.00 |
| 1159F |
|
418 |
400 |
$0.00 |
| 4004F |
|
32 |
25 |
$0.00 |
| 1160F |
|
211 |
200 |
$0.00 |
| 2014F |
|
28 |
28 |
$0.00 |
| 3725F |
|
42 |
38 |
$0.00 |