| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69,433 |
57,546 |
$3.60M |
| 99199 |
Unlisted special service, procedure or report |
451,923 |
178,514 |
$3.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,188 |
38,092 |
$1.67M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,271 |
4,311 |
$75K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,899 |
3,974 |
$74K |
| 99215 |
Prolong outpt/office vis |
993 |
853 |
$58K |
| T1017 |
Targeted case management, each 15 minutes |
186 |
157 |
$42K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
673 |
606 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,882 |
641 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,807 |
1,515 |
$23K |
| 99442 |
|
595 |
450 |
$20K |
| 90686 |
|
2,769 |
2,248 |
$20K |
| 82962 |
|
12,560 |
10,955 |
$19K |
| 87428 |
|
311 |
287 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,842 |
1,546 |
$15K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
273 |
244 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
284 |
251 |
$9K |
| 72110 |
|
504 |
417 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,235 |
1,118 |
$8K |
| 81003 |
|
5,868 |
5,100 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
257 |
192 |
$6K |
| 81025 |
|
858 |
697 |
$5K |
| 73564 |
|
333 |
288 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
308 |
232 |
$4K |
| 99421 |
|
171 |
143 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
204 |
157 |
$4K |
| 93000 |
|
426 |
380 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
412 |
219 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
40 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
48 |
40 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
68 |
53 |
$3K |
| 20611 |
|
186 |
125 |
$3K |
| 99441 |
|
136 |
94 |
$3K |
| 96127 |
|
1,068 |
880 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
27 |
$2K |
| 97803 |
|
33 |
24 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
24 |
$2K |
| 92250 |
|
43 |
43 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
56 |
42 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
117 |
$2K |
| 73630 |
|
130 |
103 |
$1K |
| 81002 |
|
574 |
498 |
$1K |
| 97802 |
|
14 |
12 |
$1K |
| 99443 |
|
28 |
15 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
483 |
394 |
$1K |
| 73030 |
|
88 |
74 |
$962.46 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
290 |
274 |
$959.33 |
| 73130 |
|
72 |
60 |
$943.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
38 |
$876.06 |
| 87210 |
|
233 |
186 |
$836.33 |
| 90670 |
|
48 |
38 |
$782.14 |
| 94060 |
|
30 |
27 |
$690.24 |
| 93248 |
|
56 |
51 |
$677.44 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$571.95 |
| 99304 |
|
45 |
17 |
$373.49 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
45 |
38 |
$327.42 |
| 72050 |
|
12 |
12 |
$302.77 |
| 73110 |
|
17 |
13 |
$188.78 |
| 73502 |
|
18 |
13 |
$151.32 |
| 92228 |
|
13 |
13 |
$147.34 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$123.01 |
| 73610 |
|
14 |
12 |
$116.59 |
| 20610 |
|
16 |
13 |
$107.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
81 |
73 |
$74.81 |
| 99406 |
|
16 |
15 |
$45.85 |
| 3074F |
|
1,973 |
1,891 |
$25.00 |
| 3079F |
|
692 |
666 |
$25.00 |
| 99173 |
|
67 |
57 |
$5.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
15 |
15 |
$1.97 |
| 3078F |
|
1,604 |
1,534 |
$0.00 |
| 1160F |
|
2,098 |
2,030 |
$0.00 |
| 3077F |
|
80 |
75 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| 3075F |
|
143 |
138 |
$0.00 |
| 4010F |
|
133 |
128 |
$0.00 |
| 99000 |
|
1,470 |
1,454 |
$0.00 |
| 3044F |
|
210 |
208 |
$0.00 |
| 90694 |
|
16 |
16 |
$0.00 |
| 3080F |
|
20 |
20 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
12 |
$0.00 |
| 92551 |
|
16 |
12 |
$0.00 |