| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,132 |
34,165 |
$1.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,614 |
24,124 |
$1.13M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,456 |
6,413 |
$239K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,166 |
4,297 |
$214K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,910 |
2,587 |
$188K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,367 |
2,033 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,541 |
2,163 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,231 |
1,960 |
$144K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
9,766 |
7,031 |
$115K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,869 |
3,330 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,417 |
3,037 |
$88K |
| 87428 |
|
1,743 |
1,398 |
$79K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,938 |
4,051 |
$68K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
706 |
582 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
814 |
698 |
$58K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
859 |
738 |
$42K |
| 87634 |
|
647 |
554 |
$28K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,823 |
1,496 |
$19K |
| 90834 |
Psychotherapy, 45 minutes with patient |
616 |
383 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,382 |
1,129 |
$14K |
| 96160 |
|
1,498 |
1,282 |
$12K |
| 96127 |
|
3,291 |
2,918 |
$12K |
| 99215 |
Prolong outpt/office vis |
324 |
204 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
958 |
797 |
$9K |
| 90686 |
|
2,024 |
1,748 |
$9K |
| 3078F |
|
15,311 |
12,705 |
$8K |
| 3074F |
|
15,326 |
12,738 |
$8K |
| 3079F |
|
5,694 |
4,878 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
503 |
231 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
27 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
388 |
286 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
41 |
41 |
$3K |
| 96161 |
|
368 |
300 |
$3K |
| 3075F |
|
3,113 |
2,742 |
$3K |
| 3077F |
|
1,635 |
1,347 |
$2K |
| 99443 |
|
92 |
64 |
$2K |
| 87807 |
|
181 |
157 |
$2K |
| 99173 |
|
344 |
302 |
$2K |
| 90670 |
|
1,451 |
1,294 |
$2K |
| 81003 |
|
1,475 |
1,156 |
$1K |
| 1126F |
|
1,607 |
1,354 |
$1K |
| 99381 |
|
21 |
18 |
$1K |
| 3080F |
|
700 |
584 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
145 |
93 |
$1K |
| 90651 |
|
144 |
108 |
$1K |
| 99441 |
|
82 |
44 |
$926.38 |
| 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 |
71 |
68 |
$903.45 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
94 |
83 |
$864.74 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
36 |
18 |
$765.40 |
| 90710 |
|
163 |
135 |
$640.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
16 |
$519.25 |
| 90619 |
|
33 |
26 |
$516.11 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
268 |
170 |
$475.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
385 |
308 |
$433.25 |
| 36415 |
Collection of venous blood by venipuncture |
962 |
824 |
$380.09 |
| 80053 |
Comprehensive metabolic panel |
123 |
99 |
$352.07 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
284 |
201 |
$318.20 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
24 |
12 |
$312.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
765 |
583 |
$308.89 |
| 90677 |
|
305 |
238 |
$298.04 |
| 80061 |
Lipid panel |
68 |
58 |
$289.53 |
| 81002 |
|
220 |
171 |
$287.90 |
| 99442 |
|
24 |
12 |
$260.64 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
50 |
40 |
$186.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
31 |
$182.44 |
| 90715 |
|
14 |
14 |
$177.27 |
| 90723 |
|
450 |
372 |
$175.39 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
22 |
12 |
$168.69 |
| 90697 |
|
575 |
482 |
$146.59 |
| 72100 |
|
17 |
13 |
$129.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
21 |
$114.49 |
| 85027 |
|
72 |
62 |
$107.60 |
| 90647 |
|
484 |
419 |
$94.12 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
17 |
12 |
$80.17 |
| 80305 |
|
22 |
13 |
$78.27 |
| 90633 |
|
345 |
302 |
$78.04 |
| 90688 |
|
38 |
34 |
$68.40 |
| 82044 |
|
31 |
22 |
$64.61 |
| 82570 |
|
31 |
22 |
$41.55 |
| G0008 |
Administration of influenza virus vaccine |
205 |
168 |
$38.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$35.00 |
| 90461 |
|
27 |
15 |
$32.68 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
25 |
13 |
$2.36 |
| 3008F |
|
4,345 |
3,427 |
$0.02 |
| 90680 |
|
560 |
477 |
$0.00 |
| 1125F |
|
993 |
821 |
$0.00 |
| 90662 |
|
13 |
12 |
$0.00 |
| 90653 |
|
17 |
14 |
$0.00 |