| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,145 |
12,363 |
$645K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,576 |
11,650 |
$447K |
| 99307 |
|
35,827 |
3,994 |
$444K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
281 |
128 |
$51K |
| 99215 |
Prolong outpt/office vis |
641 |
425 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,633 |
1,671 |
$19K |
| 96127 |
|
4,604 |
3,397 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
323 |
107 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
62 |
$5K |
| 90674 |
|
384 |
272 |
$5K |
| 99305 |
|
190 |
106 |
$3K |
| 99457 |
|
772 |
579 |
$3K |
| 99490 |
Ccm add 20min |
818 |
615 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,336 |
2,314 |
$3K |
| 99458 |
|
587 |
441 |
$2K |
| 99439 |
|
530 |
396 |
$2K |
| 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 |
253 |
185 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
76 |
45 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
98 |
$1K |
| 3008F |
|
183 |
112 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
216 |
152 |
$614.17 |
| 80305 |
|
129 |
95 |
$578.97 |
| 99454 |
|
146 |
104 |
$559.37 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
13 |
$531.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
27 |
$476.54 |
| 71046 |
Radiologic examination, chest; 2 views |
148 |
76 |
$476.31 |
| 81003 |
|
475 |
345 |
$435.54 |
| 99315 |
|
28 |
15 |
$370.55 |
| 81025 |
|
81 |
47 |
$207.01 |
| 93000 |
|
13 |
12 |
$176.62 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
94 |
72 |
$149.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$106.66 |
| 1125F |
|
296 |
206 |
$102.08 |
| 3079F |
|
42 |
30 |
$100.00 |
| 1159F |
|
58 |
41 |
$100.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
106 |
79 |
$98.36 |
| 3074F |
|
72 |
49 |
$80.00 |
| 3078F |
|
104 |
68 |
$72.08 |
| 99406 |
|
17 |
12 |
$68.60 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$62.53 |
| 83037 |
|
14 |
12 |
$55.24 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
222 |
139 |
$49.94 |
| 81002 |
|
42 |
30 |
$47.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
497 |
321 |
$41.43 |
| 3077F |
|
32 |
22 |
$40.00 |
| 3075F |
|
26 |
20 |
$30.00 |
| 4010F |
|
133 |
97 |
$0.00 |
| 2010F |
|
61 |
46 |
$0.00 |
| 99499 |
|
184 |
89 |
$0.00 |
| 1160F |
|
15 |
13 |
$0.00 |