| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,422 |
8,317 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,942 |
8,123 |
$311K |
| 99215 |
Prolong outpt/office vis |
2,998 |
2,492 |
$81K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,763 |
3,708 |
$42K |
| 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 |
2,612 |
2,166 |
$40K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,282 |
841 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,233 |
1,685 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,644 |
4,679 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,236 |
984 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
297 |
221 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
382 |
305 |
$5K |
| 80305 |
|
2,392 |
1,955 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,134 |
988 |
$4K |
| 96127 |
|
875 |
474 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
86 |
77 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
625 |
485 |
$895.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
65 |
55 |
$813.27 |
| 3079F |
|
831 |
671 |
$804.77 |
| 0011A |
|
38 |
30 |
$638.74 |
| 0012A |
|
29 |
29 |
$588.08 |
| 3075F |
|
511 |
426 |
$550.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
651 |
503 |
$363.77 |
| 90756 |
|
22 |
17 |
$338.36 |
| 81003 |
|
375 |
289 |
$257.05 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
103 |
82 |
$256.27 |
| 3078F |
|
196 |
147 |
$210.00 |
| 3074F |
|
327 |
241 |
$210.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
23 |
18 |
$187.58 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
13 |
$155.24 |
| 95117 |
|
23 |
12 |
$137.01 |
| 90686 |
|
79 |
69 |
$123.86 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
52 |
40 |
$111.75 |
| 36415 |
Collection of venous blood by venipuncture |
250 |
162 |
$55.35 |
| 81002 |
|
46 |
36 |
$46.29 |
| 3077F |
|
14 |
13 |
$40.00 |
| 91301 |
|
83 |
75 |
$40.00 |
| 99173 |
|
19 |
13 |
$30.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
13 |
$24.60 |