| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,562 |
13,620 |
$1.03M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,275 |
5,001 |
$571K |
| 76801 |
|
598 |
509 |
$161K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,878 |
2,610 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,256 |
1,166 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,317 |
1,265 |
$103K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
288 |
267 |
$62K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
525 |
471 |
$58K |
| H1000 |
Prenatal care, at-risk assessment |
531 |
482 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
377 |
372 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
447 |
439 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
583 |
570 |
$43K |
| 92551 |
|
900 |
874 |
$38K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,873 |
1,799 |
$35K |
| H0049 |
Alcohol and/or drug screening |
1,011 |
956 |
$14K |
| 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 |
367 |
351 |
$11K |
| 81003 |
|
2,684 |
2,478 |
$9K |
| 81025 |
|
1,145 |
1,101 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
129 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
97 |
97 |
$9K |
| 90677 |
|
197 |
172 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
113 |
112 |
$5K |
| D1206 |
Topical application of fluoride varnish |
271 |
262 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$4K |
| 96161 |
|
525 |
486 |
$3K |
| 98940 |
|
159 |
138 |
$3K |
| 99385 |
|
14 |
14 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99451 |
|
76 |
72 |
$1K |
| 90697 |
|
50 |
45 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
13 |
$831.24 |
| 90686 |
|
316 |
316 |
$633.27 |
| 82947 |
|
92 |
89 |
$617.28 |
| 80053 |
Comprehensive metabolic panel |
15 |
14 |
$554.94 |
| 99173 |
|
64 |
59 |
$509.58 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$423.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
14 |
$355.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$304.96 |
| 90698 |
|
29 |
29 |
$240.94 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
12 |
$239.33 |
| 90670 |
|
79 |
79 |
$203.70 |
| 90633 |
|
87 |
87 |
$96.99 |
| 90681 |
|
14 |
14 |
$42.85 |
| 90648 |
|
12 |
12 |
$26.82 |
| 90656 |
|
103 |
102 |
$1.03 |
| 90744 |
|
12 |
12 |
$0.12 |