| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,525 |
13,602 |
$846K |
| 99199 |
Unlisted special service, procedure or report |
83,856 |
47,971 |
$615K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,503 |
2,903 |
$589K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,799 |
5,039 |
$221K |
| 80305 |
|
8,717 |
6,548 |
$67K |
| 99490 |
Ccm add 20min |
1,951 |
1,441 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
263 |
99 |
$10K |
| 99457 |
|
772 |
544 |
$6K |
| 99349 |
|
76 |
60 |
$4K |
| 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 |
521 |
482 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
180 |
108 |
$2K |
| 0011A |
|
31 |
30 |
$2K |
| 99454 |
|
186 |
110 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
268 |
163 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
106 |
$1K |
| 90756 |
|
264 |
165 |
$982.52 |
| 0001A |
|
15 |
15 |
$975.00 |
| 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 |
120 |
112 |
$965.64 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
38 |
31 |
$868.54 |
| 0012A |
|
13 |
13 |
$845.00 |
| 81003 |
|
611 |
469 |
$831.93 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$781.19 |
| 99439 |
|
92 |
67 |
$583.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
47 |
$562.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
98 |
62 |
$430.40 |
| 99347 |
|
19 |
19 |
$369.30 |
| 90674 |
|
59 |
41 |
$316.12 |
| 99484 |
|
33 |
30 |
$243.04 |
| 90480 |
|
22 |
13 |
$230.00 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
22 |
14 |
$131.92 |
| 96127 |
|
36 |
31 |
$129.44 |
| 99409 |
|
14 |
12 |
$128.80 |
| 93000 |
|
13 |
13 |
$107.20 |
| 90688 |
|
26 |
12 |
$92.82 |
| 99497 |
|
16 |
16 |
$59.76 |
| 83037 |
|
141 |
99 |
$34.11 |
| 3077F |
|
169 |
129 |
$0.02 |
| 90686 |
|
47 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
100 |
74 |
$0.00 |
| 91301 |
|
56 |
43 |
$0.00 |
| 99000 |
|
141 |
118 |
$0.00 |
| A4670 |
Automatic blood pressure monitor |
20 |
20 |
$0.00 |
| 3079F |
|
19 |
13 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 1111F |
|
39 |
35 |
$0.00 |
| 3078F |
|
104 |
79 |
$0.00 |
| 91300 |
|
66 |
48 |
$0.00 |
| 99473 |
|
99 |
25 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
16 |
$0.00 |