| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,303 |
39,535 |
$3.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,567 |
33,450 |
$2.73M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,911 |
6,246 |
$624K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,238 |
6,184 |
$587K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,607 |
4,563 |
$433K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,970 |
2,939 |
$266K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,509 |
2,312 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,690 |
1,645 |
$147K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
576 |
559 |
$54K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,278 |
2,891 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
567 |
538 |
$41K |
| 96127 |
|
2,357 |
2,330 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,530 |
10,418 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
368 |
339 |
$10K |
| 99381 |
|
125 |
122 |
$10K |
| 99383 |
|
71 |
71 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
273 |
224 |
$6K |
| 99215 |
Prolong outpt/office vis |
84 |
74 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$3K |
| 94760 |
|
1,266 |
1,172 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
181 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
202 |
193 |
$540.74 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
107 |
82 |
$535.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
40 |
$487.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$453.90 |
| 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 |
259 |
227 |
$324.40 |
| 90686 |
|
220 |
205 |
$208.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
43 |
41 |
$187.82 |
| 0071A |
|
19 |
18 |
$80.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
112 |
108 |
$41.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$8.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
464 |
434 |
$5.65 |
| 1159F |
|
25,299 |
22,256 |
$0.01 |
| 3014F |
|
958 |
822 |
$0.01 |
| 3078F |
|
15,898 |
14,267 |
$0.00 |
| 4274F |
|
8,560 |
7,514 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
76 |
68 |
$0.00 |
| 3288F |
|
1,114 |
1,048 |
$0.00 |
| 4004F |
|
2,020 |
1,741 |
$0.00 |
| 3050F |
|
546 |
448 |
$0.00 |
| 2028F |
|
179 |
165 |
$0.00 |
| 3077F |
|
406 |
382 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.00 |
| 3017F |
|
1,148 |
954 |
$0.00 |
| 3075F |
|
1,435 |
1,359 |
$0.00 |
| 3079F |
|
3,179 |
2,970 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$0.00 |
| 3080F |
|
212 |
203 |
$0.00 |
| 3049F |
|
953 |
827 |
$0.00 |
| 3074F |
|
17,525 |
15,619 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
50 |
49 |
$0.00 |
| 3008F |
|
11,190 |
10,154 |
$0.00 |
| 2023F |
|
152 |
134 |
$0.00 |
| 3044F |
|
67 |
63 |
$0.00 |