| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,791 |
22,571 |
$1.59M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,279 |
7,843 |
$835K |
| 76801 |
|
1,070 |
732 |
$260K |
| H0049 |
Alcohol and/or drug screening |
13,210 |
11,700 |
$174K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,366 |
3,169 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,390 |
1,324 |
$116K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
1,088 |
861 |
$110K |
| H1000 |
Prenatal care, at-risk assessment |
1,098 |
865 |
$104K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,300 |
4,194 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,214 |
1,182 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
870 |
832 |
$71K |
| 81025 |
|
8,124 |
7,764 |
$70K |
| 81003 |
|
13,799 |
12,306 |
$67K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
532 |
499 |
$53K |
| 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 |
1,569 |
1,504 |
$48K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
219 |
195 |
$43K |
| 92551 |
|
943 |
930 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
597 |
572 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
454 |
438 |
$37K |
| 82947 |
|
2,767 |
2,699 |
$24K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
198 |
170 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
676 |
665 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
188 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
239 |
225 |
$16K |
| 99215 |
Prolong outpt/office vis |
120 |
114 |
$14K |
| 98940 |
|
544 |
363 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
327 |
313 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
26 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
91 |
79 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
331 |
327 |
$9K |
| 96161 |
|
916 |
761 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
29 |
$5K |
| 99381 |
|
15 |
15 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
43 |
43 |
$3K |
| 99173 |
|
400 |
391 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
166 |
163 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
37 |
34 |
$3K |
| 90697 |
|
123 |
110 |
$3K |
| 73630 |
|
104 |
66 |
$3K |
| 90698 |
|
169 |
168 |
$3K |
| 80061 |
Lipid panel |
37 |
35 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
36 |
$2K |
| D1206 |
Topical application of fluoride varnish |
156 |
155 |
$2K |
| 87210 |
|
258 |
252 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
26 |
13 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
110 |
105 |
$2K |
| 86580 |
|
240 |
227 |
$2K |
| 99384 |
|
19 |
12 |
$2K |
| 86803 |
|
23 |
20 |
$2K |
| 80053 |
Comprehensive metabolic panel |
22 |
21 |
$1K |
| 90686 |
|
473 |
464 |
$885.49 |
| 83986 |
|
157 |
152 |
$681.93 |
| 87340 |
|
23 |
20 |
$664.81 |
| 90670 |
|
244 |
241 |
$600.46 |
| 90677 |
|
152 |
152 |
$573.78 |
| 90710 |
|
37 |
37 |
$513.73 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
15 |
$489.19 |
| 80305 |
|
40 |
40 |
$482.30 |
| 90651 |
|
193 |
183 |
$389.32 |
| 90633 |
|
122 |
122 |
$294.92 |
| 90619 |
|
35 |
35 |
$282.03 |
| 90658 |
|
16 |
14 |
$220.80 |
| 90696 |
|
13 |
13 |
$171.25 |
| 90744 |
|
47 |
47 |
$133.96 |
| 90707 |
|
12 |
12 |
$128.44 |
| 90715 |
|
12 |
12 |
$96.36 |
| 90716 |
|
13 |
13 |
$48.19 |
| 90381 |
|
12 |
12 |
$40.42 |
| 90734 |
|
14 |
14 |
$37.52 |
| 90681 |
|
12 |
12 |
$32.16 |
| 90656 |
|
22 |
22 |
$0.22 |