| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
246 |
245 |
$154K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,983 |
27,447 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,802 |
15,688 |
$97K |
| 99460 |
|
1,803 |
1,755 |
$86K |
| 59425 |
|
2,004 |
1,617 |
$83K |
| 90791 |
Psychiatric diagnostic evaluation |
1,635 |
1,606 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,549 |
14,106 |
$54K |
| 99462 |
|
2,197 |
1,651 |
$54K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,335 |
1,294 |
$52K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,189 |
3,927 |
$37K |
| 59514 |
|
68 |
68 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,093 |
11,657 |
$22K |
| 99381 |
|
411 |
402 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,522 |
1,519 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
224 |
220 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,510 |
2,489 |
$13K |
| J3490 |
Unclassified drugs |
161 |
161 |
$12K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,156 |
1,017 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,650 |
1,648 |
$10K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,989 |
2,359 |
$9K |
| 90715 |
|
423 |
423 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,935 |
1,917 |
$7K |
| 99173 |
|
4,284 |
4,280 |
$5K |
| 85018 |
|
6,451 |
6,434 |
$5K |
| 92551 |
|
4,792 |
4,784 |
$5K |
| 81003 |
|
7,782 |
6,663 |
$5K |
| 99401 |
|
797 |
739 |
$4K |
| D1206 |
Topical application of fluoride varnish |
241 |
234 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
215 |
$4K |
| 59025 |
Fetal non-stress test |
133 |
78 |
$3K |
| 99215 |
Prolong outpt/office vis |
98 |
93 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
68 |
44 |
$3K |
| 81025 |
|
2,288 |
2,233 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
32 |
32 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
282 |
274 |
$2K |
| 11721 |
|
91 |
46 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
55 |
55 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
48 |
45 |
$2K |
| 90651 |
|
492 |
489 |
$2K |
| 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 |
81 |
73 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
541 |
536 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
635 |
635 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
110 |
110 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
43 |
42 |
$1K |
| 97802 |
|
92 |
92 |
$1K |
| 90670 |
|
2,216 |
2,206 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
87 |
85 |
$963.14 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
141 |
$797.77 |
| 90686 |
|
2,076 |
2,066 |
$756.25 |
| 97803 |
|
66 |
60 |
$659.35 |
| 96150 |
|
38 |
38 |
$639.54 |
| 96151 |
|
51 |
50 |
$440.69 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
71 |
64 |
$414.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
72 |
$372.56 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
576 |
572 |
$272.70 |
| 90656 |
|
3,069 |
3,064 |
$215.40 |
| 82962 |
|
127 |
123 |
$196.00 |
| 90647 |
|
1,237 |
1,229 |
$165.60 |
| 90723 |
|
1,244 |
1,244 |
$163.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$154.44 |
| 94760 |
|
25 |
25 |
$139.75 |
| H1000 |
Prenatal care, at-risk assessment |
41 |
41 |
$128.27 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
16 |
14 |
$124.01 |
| 90734 |
|
86 |
86 |
$123.00 |
| 99385 |
|
13 |
13 |
$114.10 |
| 86580 |
|
33 |
33 |
$110.88 |
| 90680 |
|
706 |
706 |
$104.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,017 |
3,987 |
$60.24 |
| 90633 |
|
895 |
884 |
$30.60 |
| 96156 |
|
58 |
56 |
$16.82 |
| 86703 |
|
81 |
81 |
$10.76 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.61 |
| 99000 |
|
76 |
76 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
261 |
260 |
$0.00 |
| 90716 |
|
126 |
123 |
$0.00 |
| 90688 |
|
209 |
209 |
$0.00 |
| 90696 |
|
58 |
58 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
49 |
49 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
18 |
15 |
$0.00 |
| 0011A |
|
48 |
48 |
$0.00 |
| 0012A |
|
44 |
44 |
$0.00 |
| 91301 |
|
17 |
17 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
504 |
504 |
$0.00 |
| 90700 |
|
59 |
55 |
$0.00 |
| 90707 |
|
115 |
112 |
$0.00 |
| 90685 |
|
37 |
37 |
$0.00 |
| 90710 |
|
47 |
47 |
$0.00 |