| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
179,205 |
162,075 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,586 |
20,634 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22,643 |
21,595 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,104 |
3,931 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
280 |
279 |
$9K |
| 3074F |
|
80,012 |
71,288 |
$4K |
| 3078F |
|
86,283 |
77,183 |
$4K |
| 90686 |
|
5,128 |
5,082 |
$2K |
| 81025 |
|
5,910 |
5,779 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,125 |
2,118 |
$1K |
| 81002 |
|
17,758 |
14,419 |
$1K |
| 97802 |
|
3,969 |
3,944 |
$1K |
| 1160F |
|
32,857 |
31,171 |
$1K |
| 1126F |
|
43,985 |
42,268 |
$1K |
| 1159F |
|
72,480 |
68,266 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,233 |
1,223 |
$925.83 |
| 97803 |
|
6,577 |
6,438 |
$854.61 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
177 |
$814.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
895 |
890 |
$732.53 |
| 3079F |
|
16,714 |
15,285 |
$653.30 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,133 |
1,132 |
$564.33 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,417 |
3,379 |
$561.99 |
| 1170F |
|
61,645 |
58,616 |
$549.90 |
| 3075F |
|
13,578 |
12,432 |
$461.77 |
| 92551 |
|
4,497 |
4,476 |
$373.17 |
| 90670 |
|
1,293 |
1,285 |
$333.00 |
| 3077F |
|
8,611 |
7,779 |
$299.18 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
585 |
583 |
$271.40 |
| 82962 |
|
17,167 |
16,552 |
$250.18 |
| 90732 |
|
38 |
38 |
$243.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,325 |
1,320 |
$240.38 |
| 90633 |
|
504 |
501 |
$216.00 |
| 85018 |
|
7,702 |
7,608 |
$179.19 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
14 |
$174.72 |
| 90715 |
|
1,422 |
1,418 |
$144.00 |
| 99385 |
|
296 |
296 |
$139.96 |
| 83655 |
|
1,148 |
1,134 |
$130.50 |
| 99384 |
|
48 |
48 |
$130.24 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
11,756 |
11,070 |
$128.36 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
866 |
864 |
$117.93 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,268 |
1,259 |
$108.24 |
| 90651 |
|
489 |
482 |
$108.00 |
| 3008F |
|
61,483 |
58,846 |
$91.85 |
| 88142 |
|
993 |
993 |
$68.00 |
| 90698 |
|
609 |
607 |
$63.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,508 |
1,497 |
$60.00 |
| 90674 |
|
520 |
520 |
$54.00 |
| 90716 |
|
51 |
51 |
$54.00 |
| 90734 |
|
371 |
369 |
$54.00 |
| 90700 |
|
27 |
27 |
$54.00 |
| 92015 |
Determination of refractive state |
3,721 |
3,687 |
$39.97 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,351 |
2,349 |
$39.44 |
| 92250 |
|
2,847 |
2,838 |
$32.53 |
| G9920 |
Screening performed and negative |
3,577 |
3,567 |
$29.00 |
| 90707 |
|
32 |
32 |
$27.00 |
| 90744 |
|
237 |
237 |
$18.00 |
| 90696 |
|
41 |
41 |
$18.00 |
| 90710 |
|
161 |
161 |
$18.00 |
| 99188 |
|
43 |
43 |
$17.82 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
354 |
353 |
$16.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
501 |
492 |
$16.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
257 |
255 |
$13.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,798 |
3,752 |
$13.46 |
| 86580 |
|
266 |
259 |
$13.32 |
| 90620 |
|
15 |
14 |
$9.00 |
| 90736 |
|
28 |
28 |
$9.00 |
| 94760 |
|
175 |
166 |
$5.53 |
| 1125F |
|
5,534 |
5,448 |
$0.00 |
| 94010 |
|
84 |
82 |
$0.00 |
| 3044F |
|
38,369 |
36,624 |
$0.00 |
| 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 |
1,072 |
957 |
$0.00 |
| 3351F |
|
3,511 |
3,476 |
$0.00 |
| 1123F |
|
15,815 |
15,276 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
58 |
58 |
$0.00 |
| 0501F |
|
4,163 |
3,142 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
836 |
832 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
507 |
504 |
$0.00 |
| 1000F |
|
2,405 |
2,336 |
$0.00 |
| 90697 |
|
104 |
104 |
$0.00 |
| 90680 |
|
483 |
478 |
$0.00 |
| 3048F |
|
743 |
710 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
99 |
99 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
200 |
137 |
$0.00 |
| 99386 |
|
176 |
176 |
$0.00 |
| 93000 |
|
98 |
98 |
$0.00 |
| 90677 |
|
243 |
237 |
$0.00 |
| 0503F |
|
245 |
243 |
$0.00 |
| 90656 |
|
372 |
370 |
$0.00 |
| 3080F |
|
534 |
480 |
$0.00 |
| 90474 |
|
103 |
103 |
$0.00 |
| 86592 |
|
95 |
95 |
$0.00 |
| 36416 |
|
162 |
162 |
$0.00 |
| 3049F |
|
522 |
511 |
$0.00 |
| 96156 |
|
383 |
382 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
358 |
355 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
230 |
228 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
116 |
116 |
$0.00 |
| 99381 |
|
12 |
12 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
48 |
38 |
$0.00 |
| 99000 |
|
26 |
26 |
$0.00 |
| 82043 |
|
37 |
37 |
$0.00 |
| 90688 |
|
99 |
89 |
$0.00 |
| 3352F |
|
54 |
54 |
$0.00 |
| 0012A |
|
13 |
13 |
$0.00 |
| 99383 |
|
20 |
20 |
$0.00 |
| 0500F |
|
12 |
12 |
$0.00 |
| 3725F |
|
8,432 |
8,355 |
$0.00 |
| 1158F |
|
15,815 |
15,276 |
$0.00 |
| 99401 |
|
258 |
258 |
$0.00 |
| 99173 |
|
5,458 |
5,432 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
934 |
918 |
$0.00 |
| 0502F |
|
5,010 |
3,887 |
$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 |
1,288 |
1,191 |
$0.00 |
| 80305 |
|
180 |
158 |
$0.00 |
| 90461 |
|
290 |
286 |
$0.00 |
| 92134 |
|
438 |
433 |
$0.00 |
| 3046F |
|
127 |
124 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
288 |
286 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
988 |
978 |
$0.00 |
| 90750 |
|
229 |
229 |
$0.00 |
| 2028F |
|
655 |
652 |
$0.00 |
| 90749 |
|
14 |
14 |
$0.00 |
| 3050F |
|
176 |
170 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
144 |
144 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
159 |
158 |
$0.00 |
| 92020 |
|
27 |
27 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
464 |
462 |
$0.00 |
| M1016 |
Female patients unable to bear children |
229 |
212 |
$0.00 |
| 3051F |
|
76 |
75 |
$0.00 |
| 88164 |
|
13 |
13 |
$0.00 |
| 99499 |
|
12 |
12 |
$0.00 |
| 90671 |
|
24 |
24 |
$0.00 |
| 99201 |
|
23 |
15 |
$0.00 |
| 90687 |
|
94 |
94 |
$0.00 |
| 90746 |
|
47 |
47 |
$0.00 |
| 91300 |
|
15 |
12 |
$0.00 |
| 82274 |
|
14 |
14 |
$0.00 |
| V2020 |
Frames, purchases |
12 |
12 |
$0.00 |
| 90661 |
|
30 |
30 |
$0.00 |
| 92133 |
|
13 |
13 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |