| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,244 |
23,814 |
$980K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,062 |
8,216 |
$423K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,053 |
3,654 |
$134K |
| 59425 |
|
1,119 |
744 |
$123K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,111 |
2,830 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,493 |
1,356 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,110 |
998 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
808 |
706 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
834 |
765 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,944 |
1,672 |
$41K |
| 59426 |
|
180 |
88 |
$33K |
| 1111F |
|
27,538 |
23,629 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,854 |
1,524 |
$22K |
| 92551 |
|
2,435 |
2,209 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,431 |
1,021 |
$15K |
| 3008F |
|
42,340 |
35,312 |
$13K |
| 3074F |
|
29,407 |
25,210 |
$13K |
| 3078F |
|
26,437 |
22,795 |
$12K |
| 99215 |
Prolong outpt/office vis |
324 |
234 |
$12K |
| 96127 |
|
4,826 |
2,600 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,213 |
1,100 |
$10K |
| 87400 |
|
881 |
840 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
100 |
$7K |
| 99173 |
|
2,055 |
1,914 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
421 |
332 |
$6K |
| 3046F |
|
2,878 |
2,360 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
179 |
114 |
$4K |
| 3044F |
|
4,693 |
3,989 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
428 |
383 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
86 |
56 |
$3K |
| 3079F |
|
5,468 |
4,492 |
$2K |
| 81025 |
|
474 |
416 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,134 |
942 |
$1K |
| 99383 |
|
16 |
16 |
$1K |
| 90688 |
|
474 |
418 |
$1K |
| 81002 |
|
769 |
654 |
$1K |
| 87420 |
|
147 |
141 |
$993.55 |
| 3077F |
|
1,981 |
1,547 |
$931.70 |
| 99408 |
|
91 |
83 |
$920.46 |
| 90734 |
|
189 |
169 |
$895.00 |
| 90697 |
|
75 |
71 |
$868.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
509 |
408 |
$824.86 |
| 90686 |
|
149 |
128 |
$786.40 |
| 90671 |
|
103 |
96 |
$746.20 |
| 82962 |
|
527 |
422 |
$728.52 |
| 90670 |
|
758 |
696 |
$723.31 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
89 |
88 |
$664.24 |
| 90461 |
|
1,560 |
1,387 |
$627.09 |
| 99441 |
|
30 |
20 |
$477.75 |
| 3080F |
|
887 |
689 |
$430.00 |
| 90651 |
|
100 |
92 |
$275.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
17 |
$247.97 |
| 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 |
32 |
28 |
$192.54 |
| 3075F |
|
738 |
582 |
$142.29 |
| 90698 |
|
32 |
31 |
$100.00 |
| 96160 |
|
73 |
68 |
$90.90 |
| 96161 |
|
16 |
12 |
$74.82 |
| 90715 |
|
64 |
54 |
$50.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
25 |
$22.08 |
| 90658 |
|
36 |
36 |
$21.86 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
33 |
28 |
$10.58 |
| 99000 |
|
9,182 |
7,841 |
$4.32 |
| 3725F |
|
3,021 |
2,445 |
$0.00 |
| 1159F |
|
1,869 |
1,508 |
$0.00 |
| 90633 |
|
169 |
151 |
$0.00 |
| 90707 |
|
111 |
93 |
$0.00 |
| 1160F |
|
1,869 |
1,508 |
$0.00 |
| 90649 |
|
191 |
172 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 1126F |
|
3,858 |
3,322 |
$0.00 |
| 1125F |
|
641 |
494 |
$0.00 |
| 1036F |
|
5,328 |
4,468 |
$0.00 |
| 1034F |
|
508 |
370 |
$0.00 |
| 90680 |
|
176 |
171 |
$0.00 |
| 90716 |
|
52 |
37 |
$0.00 |
| 90696 |
|
28 |
19 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |