| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,087 |
19,548 |
$3.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,069 |
17,701 |
$3.71M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,148 |
1,145 |
$250K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,149 |
1,142 |
$249K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
948 |
945 |
$205K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
692 |
676 |
$143K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
742 |
693 |
$137K |
| 90832 |
Psychotherapy, 30 minutes with patient |
645 |
546 |
$114K |
| D1206 |
Topical application of fluoride varnish |
567 |
556 |
$77K |
| 99215 |
Prolong outpt/office vis |
347 |
318 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
202 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,412 |
5,349 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
98 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,251 |
1,103 |
$17K |
| D1110 |
Prophylaxis - adult |
83 |
81 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,759 |
1,653 |
$11K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
29 |
28 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,017 |
978 |
$7K |
| 80061 |
Lipid panel |
641 |
610 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
123 |
118 |
$6K |
| 87631 |
|
55 |
55 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,688 |
1,573 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
29 |
29 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
408 |
388 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
148 |
147 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
26 |
26 |
$3K |
| 90686 |
|
2,238 |
2,228 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
27 |
12 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
35 |
14 |
$3K |
| 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 |
7,707 |
6,184 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$2K |
| 84439 |
|
153 |
150 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
121 |
119 |
$2K |
| 87430 |
|
199 |
165 |
$2K |
| 90670 |
|
715 |
702 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
83 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,452 |
2,436 |
$896.80 |
| 71046 |
Radiologic examination, chest; 2 views |
123 |
107 |
$882.54 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$863.30 |
| 90715 |
|
215 |
214 |
$724.80 |
| 99173 |
|
665 |
663 |
$636.46 |
| 81003 |
|
305 |
290 |
$304.60 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$268.44 |
| 81001 |
|
105 |
99 |
$224.04 |
| 92551 |
|
666 |
663 |
$210.85 |
| 90651 |
|
347 |
344 |
$204.87 |
| 36415 |
Collection of venous blood by venipuncture |
4,553 |
3,888 |
$162.50 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
13 |
$26.26 |
| J3490 |
Unclassified drugs |
24 |
24 |
$0.02 |
| 90698 |
|
361 |
359 |
$0.02 |
| 90680 |
|
141 |
141 |
$0.02 |
| 99490 |
Ccm add 20min |
370 |
186 |
$0.00 |
| 90734 |
|
332 |
330 |
$0.00 |
| 90473 |
|
140 |
140 |
$0.00 |
| 90633 |
|
219 |
219 |
$0.00 |
| 90685 |
|
50 |
50 |
$0.00 |
| 90710 |
|
45 |
45 |
$0.00 |
| 90662 |
|
33 |
31 |
$0.00 |
| 90672 |
|
14 |
14 |
$0.00 |
| 90744 |
|
98 |
97 |
$0.00 |
| 99000 |
|
175 |
173 |
$0.00 |
| 90656 |
|
63 |
63 |
$0.00 |
| 90619 |
|
31 |
31 |
$0.00 |
| 90474 |
|
13 |
13 |
$0.00 |
| 90620 |
|
61 |
61 |
$0.00 |
| 90696 |
|
40 |
40 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
25 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
119 |
115 |
$0.00 |
| 90688 |
|
13 |
12 |
$0.00 |
| 80050 |
General health panel |
31 |
30 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$0.00 |