| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,986 |
5,512 |
$260K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,795 |
3,418 |
$179K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,974 |
1,253 |
$160K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,947 |
1,026 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
368 |
248 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
386 |
255 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
954 |
475 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
844 |
626 |
$17K |
| 99460 |
|
189 |
136 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
109 |
73 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
41 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
566 |
429 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
154 |
93 |
$1K |
| 54450 |
|
41 |
24 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
18 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
49 |
40 |
$951.98 |
| 0011A |
|
21 |
16 |
$720.00 |
| 0012A |
|
20 |
16 |
$720.00 |
| 93227 |
|
55 |
48 |
$675.36 |
| 93018 |
|
83 |
69 |
$560.05 |
| 90461 |
|
2,528 |
556 |
$480.37 |
| 99462 |
|
19 |
13 |
$390.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
35 |
$349.75 |
| 93016 |
|
33 |
29 |
$311.19 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
94 |
57 |
$307.05 |
| 96380 |
|
20 |
16 |
$293.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
14 |
$252.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
14 |
$234.07 |
| 90671 |
|
441 |
288 |
$233.16 |
| 90697 |
|
432 |
233 |
$230.92 |
| 96127 |
|
40 |
38 |
$164.82 |
| 3078F |
|
1,147 |
843 |
$50.00 |
| 3008F |
|
10,513 |
6,378 |
$42.37 |
| 90686 |
|
67 |
44 |
$38.72 |
| 3074F |
|
895 |
677 |
$10.00 |
| 91301 |
|
53 |
42 |
$0.08 |
| 3061F |
|
1,432 |
1,076 |
$0.00 |
| 90674 |
|
17 |
14 |
$0.00 |
| 1101F |
|
104 |
95 |
$0.00 |
| 90378 |
|
60 |
50 |
$0.00 |
| 90680 |
|
845 |
463 |
$0.00 |
| 4010F |
|
51 |
42 |
$0.00 |
| 3079F |
|
48 |
41 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90677 |
|
24 |
16 |
$0.00 |
| 1159F |
|
712 |
553 |
$0.00 |
| 1160F |
|
455 |
393 |
$0.00 |
| 90670 |
|
437 |
199 |
$0.00 |
| 90380 |
|
26 |
22 |
$0.00 |
| 1100F |
|
14 |
12 |
$0.00 |
| 90633 |
|
73 |
45 |
$0.00 |