| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,406 |
34,401 |
$1.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,171 |
9,849 |
$527K |
| H1000 |
Prenatal care, at-risk assessment |
6,740 |
3,939 |
$388K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,133 |
2,679 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,645 |
1,943 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,417 |
1,204 |
$82K |
| 97802 |
|
4,610 |
4,207 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,112 |
930 |
$44K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22,798 |
7,853 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
354 |
301 |
$20K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
295 |
205 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
705 |
676 |
$13K |
| 59430 |
|
333 |
299 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
94 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
226 |
156 |
$7K |
| 99307 |
|
9,140 |
4,544 |
$4K |
| 97803 |
|
944 |
852 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
132 |
114 |
$4K |
| D1120 |
Prophylaxis - child |
180 |
163 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
751 |
619 |
$4K |
| 99305 |
|
731 |
585 |
$3K |
| 99205 |
Prolong outpt/office vis |
101 |
62 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
56 |
52 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
80 |
49 |
$3K |
| 81003 |
|
5,350 |
3,555 |
$3K |
| 85018 |
|
5,839 |
5,013 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
254 |
213 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
27 |
$2K |
| 99401 |
|
1,967 |
1,848 |
$2K |
| 99215 |
Prolong outpt/office vis |
49 |
37 |
$2K |
| 99381 |
|
34 |
25 |
$2K |
| 81025 |
|
1,031 |
859 |
$1K |
| 0003A |
|
69 |
40 |
$1K |
| 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 |
34,692 |
11,159 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
38 |
35 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
30 |
$1K |
| 0001A |
|
49 |
42 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
405 |
227 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
259 |
214 |
$1K |
| 99490 |
Ccm add 20min |
477 |
368 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
622 |
544 |
$1K |
| 0002A |
|
46 |
38 |
$960.00 |
| D1206 |
Topical application of fluoride varnish |
290 |
256 |
$952.36 |
| 99406 |
|
1,663 |
1,320 |
$877.92 |
| 82962 |
|
1,036 |
848 |
$783.95 |
| D0120 |
Periodic oral evaluation - established patient |
131 |
118 |
$738.92 |
| 99306 |
Prolong nursin fac eval 15m |
55 |
42 |
$586.96 |
| 59025 |
Fetal non-stress test |
51 |
25 |
$551.04 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,044 |
1,670 |
$499.72 |
| 83655 |
|
126 |
123 |
$455.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33 |
25 |
$441.41 |
| 99188 |
|
193 |
153 |
$363.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
55 |
$352.00 |
| D0603 |
|
129 |
125 |
$313.53 |
| D0272 |
Bitewings - two radiographic images |
81 |
75 |
$268.80 |
| D0220 |
Intraoral - periapical first radiographic image |
245 |
208 |
$263.42 |
| 99347 |
|
33 |
24 |
$194.84 |
| 92558 |
|
4,291 |
3,615 |
$141.31 |
| D1330 |
|
222 |
200 |
$126.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
190 |
112 |
$107.95 |
| 3074F |
|
5,460 |
3,812 |
$89.51 |
| 1036F |
|
10,008 |
6,987 |
$75.81 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
495 |
324 |
$75.43 |
| 81001 |
|
68 |
41 |
$37.28 |
| D0230 |
Intraoral - periapical each additional radiographic image |
103 |
59 |
$31.36 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
696 |
517 |
$27.43 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$22.86 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,077 |
1,390 |
$2.08 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,767 |
1,223 |
$2.06 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,843 |
2,749 |
$1.63 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
7,669 |
5,076 |
$1.54 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
6,666 |
4,530 |
$1.44 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
2,904 |
2,057 |
$1.39 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
5,088 |
3,698 |
$0.25 |
| 3078F |
|
6,594 |
4,120 |
$0.17 |
| 3079F |
|
1,302 |
912 |
$0.07 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
170 |
103 |
$0.05 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,414 |
989 |
$0.04 |
| 99173 |
|
5,011 |
3,919 |
$0.01 |
| 3077F |
|
641 |
399 |
$0.00 |
| 1160F |
|
7,496 |
5,562 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
2,163 |
1,739 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,184 |
1,081 |
$0.00 |
| 1159F |
|
7,893 |
5,910 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
629 |
385 |
$0.00 |
| 0502F |
|
623 |
281 |
$0.00 |
| 91300 |
|
119 |
91 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
221 |
151 |
$0.00 |
| 90658 |
|
16 |
14 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
255 |
237 |
$0.00 |
| 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 |
33 |
25 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
1,028 |
748 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
256 |
197 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
114 |
65 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
368 |
258 |
$0.00 |
| 1126F |
|
161 |
149 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
67 |
61 |
$0.00 |
| 3075F |
|
204 |
155 |
$0.00 |
| 1170F |
|
3,294 |
2,335 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
166 |
166 |
$0.00 |
| 0503F |
|
76 |
66 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
39 |
$0.00 |
| 3080F |
|
91 |
52 |
$0.00 |
| 59050 |
|
60 |
28 |
$0.00 |
| 90674 |
|
41 |
26 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
14 |
14 |
$0.00 |
| 1125F |
|
37 |
35 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
18 |
12 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
22 |
19 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 91307 |
|
29 |
17 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |