| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,749 |
27,372 |
$1.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,802 |
21,535 |
$1.26M |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,423 |
2,469 |
$139K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,110 |
1,376 |
$103K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,803 |
1,573 |
$64K |
| 80305 |
|
12,863 |
10,567 |
$64K |
| 99222 |
Initial hospital care, per day, moderate complexity |
895 |
780 |
$61K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,828 |
4,709 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
635 |
569 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,297 |
2,867 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
403 |
224 |
$15K |
| 82962 |
|
8,340 |
7,031 |
$11K |
| 93000 |
|
1,777 |
1,458 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
159 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,251 |
2,870 |
$7K |
| 99000 |
|
3,505 |
3,079 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
64 |
$5K |
| 99217 |
|
137 |
125 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
32 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
122 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
501 |
392 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
809 |
640 |
$4K |
| 81002 |
|
1,999 |
1,775 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
99 |
84 |
$3K |
| 20610 |
|
93 |
79 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
43 |
38 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
350 |
255 |
$3K |
| 99215 |
Prolong outpt/office vis |
31 |
12 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,318 |
2,749 |
$3K |
| 93925 |
|
90 |
37 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
25 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
509 |
382 |
$2K |
| 90688 |
|
166 |
152 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
148 |
139 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,205 |
1,705 |
$1K |
| 99219 |
|
23 |
18 |
$1K |
| 99225 |
|
23 |
13 |
$787.52 |
| 94060 |
|
120 |
94 |
$783.62 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
96 |
45 |
$476.48 |
| 87428 |
|
17 |
17 |
$402.20 |
| 99442 |
|
38 |
34 |
$332.33 |
| 93922 |
|
21 |
14 |
$242.28 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
58 |
53 |
$234.77 |
| 81025 |
|
72 |
61 |
$229.45 |
| J3490 |
Unclassified drugs |
439 |
293 |
$195.45 |
| 90658 |
|
13 |
13 |
$195.00 |
| 82044 |
|
55 |
50 |
$72.43 |
| 99173 |
|
76 |
74 |
$55.96 |
| 81003 |
|
120 |
72 |
$31.72 |
| 82570 |
|
60 |
50 |
$18.68 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
561 |
366 |
$7.62 |
| G0008 |
Administration of influenza virus vaccine |
29 |
28 |
$0.00 |
| 99070 |
|
2,069 |
1,313 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
32 |
25 |
$0.00 |
| 99401 |
|
26 |
22 |
$0.00 |