| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167,425 |
63,375 |
$3.16M |
| 99384 |
|
14,116 |
12,104 |
$1.49M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,060 |
943 |
$306K |
| 92552 |
|
16,359 |
16,347 |
$217K |
| A4267 |
Contraceptive supply, condom, male, each |
6,094 |
6,094 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,856 |
1,850 |
$34K |
| 90686 |
|
5,328 |
5,314 |
$32K |
| 85018 |
|
17,359 |
17,339 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,533 |
1,532 |
$22K |
| 69205 |
|
229 |
228 |
$17K |
| J3250 |
Injection, trimethobenzamide hcl, up to 200 mg |
1,798 |
1,498 |
$15K |
| 10061 |
|
167 |
167 |
$12K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
936 |
936 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,505 |
2,460 |
$10K |
| 90674 |
|
1,344 |
1,344 |
$10K |
| 90715 |
|
999 |
999 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
352 |
351 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
76 |
$5K |
| 90734 |
|
779 |
779 |
$4K |
| 92060 |
|
3,201 |
3,194 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
645 |
353 |
$3K |
| J3490 |
Unclassified drugs |
25 |
25 |
$3K |
| 12004 |
|
31 |
31 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
309 |
309 |
$2K |
| 86580 |
|
648 |
648 |
$2K |
| 97802 |
|
111 |
111 |
$2K |
| 3008F |
|
2,336 |
2,333 |
$2K |
| 90651 |
|
517 |
516 |
$2K |
| 92551 |
|
361 |
361 |
$2K |
| 54050 |
|
49 |
30 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,279 |
1,669 |
$1K |
| 90658 |
|
350 |
346 |
$1K |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
55 |
55 |
$1K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
2,332 |
2,328 |
$765.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,135 |
2,131 |
$752.19 |
| 90620 |
|
346 |
346 |
$739.00 |
| 90716 |
|
89 |
89 |
$675.00 |
| 81025 |
|
236 |
236 |
$660.31 |
| G0008 |
Administration of influenza virus vaccine |
119 |
119 |
$650.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
315 |
243 |
$649.12 |
| 30901 |
|
12 |
12 |
$594.00 |
| 88150 |
|
57 |
57 |
$500.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
53 |
$337.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
120 |
$274.42 |
| 90649 |
|
121 |
121 |
$261.00 |
| 93000 |
|
40 |
40 |
$120.80 |
| 90707 |
|
27 |
27 |
$117.00 |
| 90744 |
|
12 |
12 |
$108.00 |
| 90756 |
|
216 |
216 |
$80.94 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,424 |
1,206 |
$79.68 |
| 83655 |
|
15 |
15 |
$73.64 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
48 |
48 |
$70.66 |
| 81002 |
|
32 |
32 |
$55.11 |
| 90670 |
|
12 |
12 |
$54.00 |
| 90662 |
|
87 |
87 |
$36.28 |
| 90700 |
|
12 |
12 |
$36.00 |
| 90688 |
|
135 |
135 |
$27.00 |
| 99000 |
|
13 |
13 |
$25.13 |
| 90656 |
|
14 |
14 |
$21.81 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
79 |
69 |
$15.41 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
28 |
26 |
$9.80 |
| 92499 |
|
729 |
727 |
$1.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
993 |
988 |
$0.00 |
| 99173 |
|
344 |
343 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
430 |
424 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
549 |
549 |
$0.00 |
| 81000 |
|
374 |
374 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |