| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,448 |
29,417 |
$775K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,058 |
8,713 |
$405K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,410 |
6,255 |
$347K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,379 |
13,421 |
$301K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,576 |
3,482 |
$246K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,897 |
5,555 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,080 |
4,808 |
$224K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,432 |
2,077 |
$132K |
| 90686 |
|
8,742 |
8,605 |
$69K |
| 90670 |
|
4,872 |
4,801 |
$45K |
| 90651 |
|
2,670 |
2,652 |
$43K |
| 83655 |
|
3,558 |
3,384 |
$39K |
| 85018 |
|
16,066 |
15,559 |
$33K |
| 90633 |
|
3,500 |
3,444 |
$31K |
| 92551 |
|
2,121 |
2,109 |
$28K |
| 90680 |
|
2,882 |
2,841 |
$26K |
| 90698 |
|
2,704 |
2,659 |
$24K |
| G9920 |
Screening performed and negative |
1,307 |
1,302 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
164 |
154 |
$21K |
| 90710 |
|
2,319 |
2,295 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
406 |
403 |
$21K |
| 99384 |
|
220 |
212 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,461 |
2,413 |
$17K |
| 90744 |
|
1,744 |
1,717 |
$16K |
| 90734 |
|
1,628 |
1,617 |
$15K |
| 90648 |
|
1,628 |
1,613 |
$15K |
| 90715 |
|
1,365 |
1,351 |
$14K |
| 90696 |
|
1,530 |
1,516 |
$14K |
| 90700 |
|
1,498 |
1,485 |
$14K |
| 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 |
540 |
468 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
369 |
366 |
$13K |
| 99383 |
|
172 |
164 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
311 |
309 |
$12K |
| 90671 |
|
323 |
319 |
$11K |
| 90716 |
|
986 |
967 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
925 |
917 |
$8K |
| 90707 |
|
880 |
860 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
112 |
$7K |
| 90688 |
|
688 |
670 |
$7K |
| 90697 |
|
699 |
698 |
$7K |
| 99241 |
|
161 |
159 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
484 |
479 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,158 |
1,124 |
$5K |
| 90619 |
|
345 |
343 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
158 |
144 |
$4K |
| 81002 |
|
1,567 |
1,466 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
66 |
61 |
$2K |
| 99000 |
|
511 |
491 |
$2K |
| 99173 |
|
45 |
43 |
$1K |
| 99243 |
|
15 |
15 |
$973.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
71 |
$953.39 |
| 90685 |
|
96 |
95 |
$864.00 |
| 99382 |
|
14 |
12 |
$823.86 |
| 99050 |
|
90 |
88 |
$738.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
148 |
142 |
$716.32 |
| 81025 |
|
244 |
237 |
$700.26 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
83 |
82 |
$596.33 |
| 86580 |
|
125 |
116 |
$488.74 |
| 87400 |
|
62 |
61 |
$358.98 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
40 |
$270.68 |
| 80053 |
Comprehensive metabolic panel |
28 |
28 |
$260.77 |
| 90723 |
|
25 |
24 |
$225.00 |
| 80061 |
Lipid panel |
17 |
17 |
$204.89 |
| 90660 |
|
21 |
21 |
$189.00 |
| 87070 |
|
15 |
15 |
$120.16 |
| 90713 |
|
12 |
12 |
$108.00 |