| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,540 |
14,437 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,653 |
5,030 |
$290K |
| 99215 |
Prolong outpt/office vis |
1,449 |
1,338 |
$145K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
881 |
868 |
$81K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
694 |
689 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
380 |
365 |
$41K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
621 |
592 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,135 |
2,576 |
$25K |
| 99406 |
|
3,229 |
2,912 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
247 |
244 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
420 |
390 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,464 |
1,431 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
102 |
101 |
$9K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,258 |
1,038 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
83 |
$7K |
| 90686 |
|
692 |
683 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,118 |
1,102 |
$7K |
| 96127 |
|
1,729 |
1,684 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
257 |
254 |
$5K |
| 96160 |
|
417 |
393 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
122 |
118 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
281 |
275 |
$4K |
| 99457 |
|
218 |
216 |
$3K |
| 99306 |
Prolong nursin fac eval 15m |
28 |
28 |
$2K |
| 0011A |
|
67 |
67 |
$2K |
| 0012A |
|
56 |
56 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
26 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
144 |
139 |
$2K |
| 99454 |
|
140 |
134 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
291 |
241 |
$1K |
| 81002 |
|
551 |
517 |
$1K |
| 99442 |
|
46 |
45 |
$847.72 |
| 20610 |
|
26 |
26 |
$766.58 |
| 93000 |
|
81 |
79 |
$590.57 |
| 98968 |
|
67 |
63 |
$571.11 |
| 99000 |
|
66 |
59 |
$514.17 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
29 |
$491.12 |
| 99441 |
|
58 |
55 |
$449.53 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
117 |
95 |
$444.80 |
| 99401 |
|
20 |
20 |
$363.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$357.83 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
282 |
245 |
$337.03 |
| 94060 |
|
13 |
12 |
$299.38 |
| 98966 |
|
73 |
71 |
$262.79 |
| 98967 |
|
60 |
59 |
$250.33 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
65 |
58 |
$230.99 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
152 |
114 |
$193.26 |
| 81000 |
|
67 |
60 |
$183.23 |
| 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) |
100 |
90 |
$180.55 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
134 |
97 |
$148.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
39 |
36 |
$64.06 |
| 4010F |
|
90 |
88 |
$0.11 |
| 3074F |
|
162 |
161 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
403 |
400 |
$0.00 |
| 2028F |
|
316 |
315 |
$0.00 |
| 3078F |
|
118 |
116 |
$0.00 |
| 3044F |
|
414 |
409 |
$0.00 |
| 3061F |
|
93 |
92 |
$0.00 |