| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,744 |
7,950 |
$441K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,169 |
10,024 |
$405K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,589 |
2,517 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,642 |
2,409 |
$175K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,548 |
1,540 |
$125K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,993 |
4,525 |
$110K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
942 |
934 |
$81K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,283 |
1,238 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,872 |
2,786 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,646 |
1,291 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,564 |
3,973 |
$33K |
| 99381 |
|
472 |
447 |
$30K |
| 99383 |
|
316 |
314 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
492 |
478 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,647 |
1,487 |
$22K |
| 99215 |
Prolong outpt/office vis |
203 |
196 |
$15K |
| 90461 |
|
3,972 |
3,347 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
515 |
504 |
$6K |
| 99382 |
|
71 |
70 |
$5K |
| 87807 |
|
402 |
390 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
155 |
$4K |
| 99384 |
|
45 |
44 |
$4K |
| 99000 |
|
412 |
390 |
$3K |
| 93000 |
|
255 |
248 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
122 |
115 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
142 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
101 |
94 |
$801.06 |
| 92551 |
|
61 |
61 |
$579.38 |
| 99050 |
|
45 |
45 |
$523.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
380 |
362 |
$262.23 |
| 96127 |
|
994 |
949 |
$249.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$230.88 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
27 |
26 |
$181.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
402 |
398 |
$121.18 |
| 81003 |
|
53 |
53 |
$86.94 |
| 90473 |
|
75 |
74 |
$72.61 |
| 83655 |
|
183 |
180 |
$50.85 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
39 |
$37.63 |
| 94664 |
|
72 |
71 |
$26.25 |
| 99080 |
|
32 |
32 |
$25.00 |
| 81000 |
|
26 |
25 |
$13.52 |
| 94760 |
|
18 |
18 |
$1.96 |
| 90670 |
|
1,543 |
1,527 |
$0.03 |
| 90648 |
|
1,348 |
1,333 |
$0.03 |
| 90723 |
|
958 |
946 |
$0.02 |
| 90681 |
|
791 |
780 |
$0.01 |
| 90710 |
|
348 |
346 |
$0.00 |
| 90715 |
|
150 |
148 |
$0.00 |
| 99173 |
|
403 |
397 |
$0.00 |
| 90700 |
|
236 |
235 |
$0.00 |
| 85014 |
|
97 |
95 |
$0.00 |
| 90633 |
|
1,084 |
1,071 |
$0.00 |
| 90734 |
|
166 |
163 |
$0.00 |
| 90707 |
|
324 |
322 |
$0.00 |
| 84030 |
|
12 |
12 |
$0.00 |
| 90698 |
|
369 |
364 |
$0.00 |
| 90716 |
|
346 |
343 |
$0.00 |
| 85018 |
|
97 |
95 |
$0.00 |
| 90677 |
|
402 |
401 |
$0.00 |
| 36416 |
|
765 |
678 |
$0.00 |
| 90696 |
|
249 |
249 |
$0.00 |
| 90686 |
|
335 |
335 |
$0.00 |
| 90619 |
|
25 |
24 |
$0.00 |
| 90656 |
|
73 |
72 |
$0.00 |