| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,533 |
13,905 |
$791K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,617 |
9,012 |
$769K |
| 59425 |
|
3,229 |
2,019 |
$249K |
| 59426 |
|
1,021 |
403 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
802 |
668 |
$61K |
| 99383 |
|
627 |
553 |
$59K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,677 |
880 |
$56K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,155 |
1,772 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
470 |
430 |
$37K |
| 99384 |
|
404 |
330 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
247 |
202 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,082 |
2,469 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,542 |
1,284 |
$33K |
| 99382 |
|
356 |
326 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
247 |
208 |
$27K |
| 99215 |
Prolong outpt/office vis |
238 |
159 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
747 |
581 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
307 |
264 |
$23K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
159 |
141 |
$21K |
| 99222 |
Initial hospital care, per day, moderate complexity |
215 |
194 |
$12K |
| 81002 |
|
4,102 |
2,133 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
246 |
168 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
113 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
78 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
138 |
117 |
$9K |
| 99460 |
|
178 |
144 |
$9K |
| 99221 |
|
203 |
170 |
$8K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$8K |
| 99381 |
|
88 |
73 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
58 |
55 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
105 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,425 |
1,166 |
$6K |
| 90474 |
|
372 |
329 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
154 |
114 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
250 |
185 |
$4K |
| 83655 |
|
397 |
355 |
$3K |
| 96127 |
|
994 |
842 |
$3K |
| 90686 |
|
765 |
555 |
$3K |
| 81025 |
|
426 |
322 |
$3K |
| 90682 |
|
46 |
42 |
$3K |
| 59430 |
|
15 |
13 |
$2K |
| 82962 |
|
1,147 |
882 |
$1K |
| 90473 |
|
136 |
58 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
32 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
77 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
25 |
$819.06 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
132 |
122 |
$807.60 |
| 87428 |
|
13 |
12 |
$763.08 |
| 85018 |
|
379 |
344 |
$704.26 |
| 36415 |
Collection of venous blood by venipuncture |
533 |
411 |
$700.15 |
| 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 |
145 |
104 |
$588.71 |
| 90688 |
|
77 |
71 |
$534.88 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
29 |
24 |
$353.42 |
| 90620 |
|
60 |
44 |
$344.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
15 |
$293.76 |
| 87210 |
|
52 |
40 |
$264.16 |
| 99218 |
|
26 |
12 |
$249.80 |
| 99442 |
|
101 |
80 |
$214.81 |
| 99406 |
|
34 |
27 |
$126.93 |
| 90734 |
|
173 |
147 |
$102.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
13 |
$89.76 |
| 90715 |
|
172 |
146 |
$43.38 |
| 90670 |
|
624 |
540 |
$8.00 |
| 90680 |
|
345 |
315 |
$0.00 |
| 90723 |
|
268 |
248 |
$0.00 |
| 90698 |
|
214 |
196 |
$0.00 |
| 90647 |
|
264 |
244 |
$0.00 |
| 90651 |
|
261 |
227 |
$0.00 |
| 90696 |
|
86 |
75 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 99441 |
|
28 |
24 |
$0.00 |
| 3074F |
|
16 |
16 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,464 |
6,003 |
$0.00 |
| 90710 |
|
290 |
258 |
$0.00 |
| 90672 |
|
156 |
68 |
$0.00 |
| 90633 |
|
380 |
335 |
$0.00 |
| J1944 |
Injection, aripiprazole lauroxil, (aristada), 1 mg |
135 |
113 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
31 |
25 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |