| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90,576 |
81,730 |
$2.89M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,933 |
10,753 |
$408K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,656 |
5,550 |
$352K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21,615 |
20,665 |
$291K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,807 |
4,572 |
$289K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,737 |
3,638 |
$214K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,032 |
6,544 |
$182K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,602 |
1,563 |
$102K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,017 |
1,955 |
$76K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,885 |
1,305 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,438 |
1,290 |
$64K |
| 99051 |
|
16,055 |
15,196 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,875 |
2,749 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
577 |
530 |
$31K |
| 87807 |
|
2,359 |
2,277 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
847 |
807 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
467 |
453 |
$20K |
| 92552 |
|
1,740 |
1,701 |
$17K |
| 99173 |
|
568 |
563 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
726 |
717 |
$14K |
| 90461 |
|
396 |
391 |
$13K |
| 99381 |
|
136 |
135 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
844 |
813 |
$10K |
| 99490 |
Ccm add 20min |
191 |
176 |
$4K |
| 99382 |
|
58 |
57 |
$4K |
| 97802 |
|
436 |
432 |
$4K |
| 0001A |
|
83 |
82 |
$3K |
| 99383 |
|
48 |
48 |
$3K |
| 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 |
181 |
176 |
$3K |
| 0071A |
|
80 |
74 |
$3K |
| 96127 |
|
782 |
766 |
$2K |
| 0072A |
|
60 |
56 |
$2K |
| 0002A |
|
58 |
57 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
157 |
152 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
36 |
36 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
262 |
253 |
$2K |
| 99442 |
|
42 |
40 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 99460 |
|
31 |
30 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
465 |
446 |
$837.85 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
29 |
28 |
$708.62 |
| 90633 |
|
3,190 |
3,122 |
$682.20 |
| 81002 |
|
1,652 |
1,545 |
$648.09 |
| 90686 |
|
2,458 |
2,401 |
$376.41 |
| 90474 |
|
37 |
37 |
$316.00 |
| 90670 |
|
3,125 |
3,084 |
$303.10 |
| 90716 |
|
692 |
681 |
$290.71 |
| 99050 |
|
45 |
43 |
$285.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
39 |
$170.98 |
| 83655 |
|
13 |
13 |
$150.36 |
| 92567 |
|
14 |
14 |
$140.78 |
| 90723 |
|
1,721 |
1,696 |
$133.15 |
| 90734 |
|
315 |
307 |
$88.06 |
| 90707 |
|
776 |
767 |
$62.42 |
| 90647 |
|
1,744 |
1,712 |
$46.83 |
| 82962 |
|
26 |
26 |
$42.64 |
| 90634 |
|
103 |
89 |
$29.57 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
33 |
29 |
$0.10 |
| 90680 |
|
1,938 |
1,914 |
$0.03 |
| 90715 |
|
240 |
233 |
$0.00 |
| 90671 |
|
416 |
415 |
$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) |
356 |
347 |
$0.00 |
| 90685 |
|
103 |
103 |
$0.00 |
| 90700 |
|
58 |
58 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
543 |
527 |
$0.00 |
| 90710 |
|
65 |
65 |
$0.00 |
| 90649 |
|
21 |
21 |
$0.00 |
| 90697 |
|
784 |
778 |
$0.00 |
| 90696 |
|
166 |
165 |
$0.00 |
| 90651 |
|
84 |
79 |
$0.00 |
| 90619 |
|
65 |
59 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
21 |
20 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
78 |
68 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 87430 |
|
26 |
26 |
$0.00 |
| 1111F |
|
16 |
15 |
$0.00 |