| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,892 |
27,274 |
$4.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,965 |
6,167 |
$806K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,269 |
2,137 |
$352K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,044 |
1,937 |
$312K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,664 |
1,529 |
$208K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
455 |
448 |
$73K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
473 |
446 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
343 |
332 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
113 |
$16K |
| 99215 |
Prolong outpt/office vis |
67 |
63 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
158 |
154 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
70 |
68 |
$2K |
| 90686 |
|
482 |
464 |
$2K |
| 99381 |
|
12 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$1K |
| 81025 |
|
73 |
63 |
$963.74 |
| 90670 |
|
1,200 |
1,128 |
$646.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
52 |
$633.90 |
| 96127 |
|
60 |
55 |
$520.30 |
| 90715 |
|
240 |
224 |
$371.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
220 |
204 |
$182.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
353 |
324 |
$180.53 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
44 |
43 |
$150.63 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
62 |
60 |
$82.32 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
131 |
119 |
$25.38 |
| 99490 |
Ccm add 20min |
85 |
80 |
$14.74 |
| 90647 |
|
995 |
943 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
26 |
$0.00 |
| 90723 |
|
1,056 |
1,005 |
$0.00 |
| 90651 |
|
83 |
78 |
$0.00 |
| 91307 |
|
28 |
28 |
$0.00 |
| 99000 |
|
143 |
129 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
13 |
$0.00 |
| 90681 |
|
345 |
325 |
$0.00 |
| 90734 |
|
72 |
67 |
$0.00 |
| 90671 |
|
276 |
268 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
434 |
418 |
$0.00 |
| 90633 |
|
321 |
291 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
26 |
25 |
$0.00 |
| 90710 |
|
188 |
179 |
$0.00 |
| 3725F |
|
31 |
31 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
46 |
$0.00 |
| 81003 |
|
20 |
20 |
$0.00 |
| 99491 |
Ccm add 20min |
17 |
17 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$0.00 |
| 99001 |
|
69 |
64 |
$0.00 |