| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62,532 |
49,035 |
$10.27M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,532 |
11,699 |
$2.42M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,977 |
10,492 |
$1.95M |
| 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 |
15,460 |
11,069 |
$1.79M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,847 |
6,234 |
$1.08M |
| 99441 |
|
3,642 |
3,082 |
$871K |
| 99442 |
|
2,800 |
2,514 |
$717K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,013 |
2,852 |
$614K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
4,711 |
2,677 |
$231K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
749 |
663 |
$121K |
| 99201 |
|
463 |
434 |
$95K |
| 99401 |
|
359 |
342 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
510 |
433 |
$80K |
| 99443 |
|
174 |
161 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
237 |
229 |
$38K |
| X5622 |
|
450 |
350 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
178 |
160 |
$28K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
142 |
130 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
75 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
66 |
$16K |
| 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 |
239 |
236 |
$13K |
| 99383 |
|
56 |
51 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
258 |
189 |
$5K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,491 |
1,210 |
$5K |
| 99384 |
|
17 |
17 |
$4K |
| 0012A |
|
1,794 |
1,323 |
$4K |
| 99386 |
|
305 |
302 |
$3K |
| 0011A |
|
1,460 |
1,317 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,098 |
6,177 |
$1K |
| 0064A |
|
163 |
156 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,093 |
4,885 |
$846.09 |
| 90734 |
|
1,781 |
1,599 |
$779.56 |
| 99387 |
|
80 |
74 |
$691.17 |
| 95251 |
|
67 |
65 |
$662.92 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
647 |
593 |
$615.72 |
| 91306 |
|
166 |
159 |
$531.40 |
| 96127 |
|
5,061 |
4,414 |
$427.14 |
| 87501 |
|
323 |
314 |
$252.10 |
| 86769 |
|
281 |
274 |
$219.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,740 |
2,409 |
$215.38 |
| 90632 |
|
378 |
363 |
$98.22 |
| 90661 |
|
44 |
44 |
$90.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
245 |
$69.93 |
| 90686 |
|
1,395 |
1,243 |
$64.11 |
| 90656 |
|
29 |
29 |
$63.06 |
| 90715 |
|
1,121 |
1,027 |
$61.47 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
81 |
80 |
$40.64 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,006 |
3,876 |
$36.91 |
| 81002 |
|
1,412 |
1,311 |
$21.51 |
| 82607 |
|
1,179 |
1,147 |
$18.80 |
| 82728 |
|
1,364 |
1,331 |
$17.00 |
| 80061 |
Lipid panel |
3,159 |
3,068 |
$16.70 |
| 87430 |
|
831 |
778 |
$16.14 |
| 90658 |
|
577 |
474 |
$15.39 |
| 83550 |
|
549 |
529 |
$10.89 |
| 83540 |
|
570 |
549 |
$8.06 |
| 36415 |
Collection of venous blood by venipuncture |
814 |
677 |
$3.37 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,174 |
4,002 |
$0.00 |
| 82024 |
|
28 |
28 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,240 |
3,156 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
340 |
281 |
$0.00 |
| 90480 |
|
32 |
32 |
$0.00 |
| 86706 |
|
245 |
242 |
$0.00 |
| 87340 |
|
244 |
241 |
$0.00 |
| 82043 |
|
311 |
308 |
$0.00 |
| 86341 |
|
213 |
208 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
4,052 |
3,934 |
$0.00 |
| 92551 |
|
1,357 |
1,135 |
$0.00 |
| 90634 |
|
50 |
50 |
$0.00 |
| 83735 |
|
374 |
368 |
$0.00 |
| 91301 |
|
2,854 |
2,259 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
905 |
731 |
$0.00 |
| 85027 |
|
296 |
294 |
$0.00 |
| 99000 |
|
405 |
369 |
$0.00 |
| 84436 |
|
84 |
82 |
$0.00 |
| 84480 |
|
375 |
370 |
$0.00 |
| 0072A |
|
54 |
52 |
$0.00 |
| 84479 |
|
81 |
79 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
129 |
126 |
$0.00 |
| 81001 |
|
474 |
462 |
$0.00 |
| 86704 |
|
244 |
241 |
$0.00 |
| 90657 |
|
123 |
101 |
$0.00 |
| 90651 |
|
269 |
243 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
218 |
217 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
200 |
195 |
$0.00 |
| 0001A |
|
278 |
272 |
$0.00 |
| 90716 |
|
198 |
183 |
$0.00 |
| 90688 |
|
32 |
31 |
$0.00 |
| 86803 |
|
244 |
241 |
$0.00 |
| 86376 |
|
86 |
84 |
$0.00 |
| 86317 |
|
17 |
15 |
$0.00 |
| 86592 |
|
98 |
97 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
86 |
79 |
$0.00 |
| 82533 |
|
43 |
43 |
$0.00 |
| 87529 |
|
46 |
45 |
$0.00 |
| 82746 |
|
39 |
38 |
$0.00 |
| 84703 |
|
50 |
43 |
$0.00 |
| 90650 |
|
61 |
47 |
$0.00 |
| 90620 |
|
31 |
26 |
$0.00 |
| 91307 |
|
135 |
122 |
$0.00 |
| 90744 |
|
42 |
36 |
$0.00 |
| 84439 |
|
805 |
787 |
$0.00 |
| 82570 |
|
302 |
298 |
$0.00 |
| 84100 |
|
376 |
369 |
$0.00 |
| 91300 |
|
589 |
537 |
$0.00 |
| 84481 |
|
580 |
569 |
$0.00 |
| 99173 |
|
1,275 |
1,072 |
$0.00 |
| 99491 |
Ccm add 20min |
36 |
36 |
$0.00 |
| 83013 |
|
1,734 |
1,643 |
$0.00 |
| 86708 |
|
245 |
242 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
180 |
178 |
$0.00 |
| 99497 |
|
516 |
252 |
$0.00 |
| 99080 |
|
66 |
63 |
$0.00 |
| 84207 |
|
82 |
81 |
$0.00 |
| 86480 |
|
312 |
292 |
$0.00 |
| 90756 |
|
91 |
61 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
808 |
413 |
$0.00 |
| 83970 |
|
139 |
133 |
$0.00 |
| 84681 |
|
304 |
297 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
117 |
$0.00 |
| 90707 |
|
95 |
94 |
$0.00 |
| 90713 |
|
48 |
46 |
$0.00 |
| 99490 |
Ccm add 20min |
176 |
172 |
$0.00 |
| 0002A |
|
194 |
190 |
$0.00 |
| 84550 |
|
36 |
36 |
$0.00 |
| 90633 |
|
125 |
109 |
$0.00 |
| 86337 |
|
163 |
160 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
68 |
$0.00 |
| 90710 |
|
31 |
29 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
95 |
$0.00 |
| 0013A |
|
41 |
36 |
$0.00 |
| 91322 |
|
20 |
20 |
$0.00 |
| 0071A |
|
59 |
57 |
$0.00 |
| 0004A |
|
43 |
43 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
23 |
21 |
$0.00 |
| 86003 |
|
13 |
13 |
$0.00 |
| 90746 |
|
54 |
43 |
$0.00 |