| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,146 |
37,969 |
$1.68M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,342 |
3,422 |
$96K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,358 |
2,159 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,350 |
2,229 |
$68K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,476 |
776 |
$57K |
| T2023 |
Targeted case management; per month |
204 |
167 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,810 |
3,533 |
$50K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,321 |
1,998 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
533 |
509 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
510 |
485 |
$28K |
| 90461 |
|
1,073 |
1,022 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
346 |
330 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,103 |
949 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
405 |
340 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
3,363 |
3,077 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
197 |
180 |
$10K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
119 |
98 |
$9K |
| 90686 |
|
541 |
520 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
569 |
546 |
$8K |
| 92567 |
|
461 |
423 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
75 |
74 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
248 |
167 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
55 |
37 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
42 |
$4K |
| 87807 |
|
320 |
299 |
$4K |
| 94010 |
|
136 |
127 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
61 |
56 |
$2K |
| 84703 |
|
414 |
294 |
$2K |
| 95117 |
|
150 |
62 |
$2K |
| 90688 |
|
271 |
258 |
$814.29 |
| 90651 |
|
104 |
103 |
$797.60 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
133 |
122 |
$764.53 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
262 |
239 |
$567.21 |
| 94060 |
|
18 |
14 |
$552.39 |
| 87420 |
|
43 |
38 |
$460.46 |
| 81002 |
|
925 |
858 |
$409.73 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
32 |
$293.67 |
| 90633 |
|
296 |
283 |
$263.38 |
| 90670 |
|
282 |
264 |
$233.60 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
33 |
27 |
$157.20 |
| 81025 |
|
25 |
16 |
$155.58 |
| Q3014 |
Telehealth originating site facility fee |
50 |
48 |
$67.32 |
| 90707 |
|
27 |
26 |
$65.00 |
| 90648 |
|
105 |
95 |
$55.20 |
| 90734 |
|
140 |
137 |
$55.20 |
| 90685 |
|
60 |
58 |
$36.80 |
| 90715 |
|
31 |
30 |
$35.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$21.41 |
| 90723 |
|
78 |
70 |
$18.40 |
| 90647 |
|
29 |
27 |
$0.00 |
| 90680 |
|
19 |
18 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |