| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,621 |
28,533 |
$5.24M |
| T1015 |
Clinic visit/encounter, all-inclusive |
26,781 |
23,470 |
$2.42M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,169 |
10,757 |
$1.90M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,657 |
3,587 |
$628K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,654 |
2,651 |
$495K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,525 |
2,520 |
$450K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,002 |
1,998 |
$350K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,316 |
1,294 |
$221K |
| 90832 |
Psychotherapy, 30 minutes with patient |
821 |
778 |
$137K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
125 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
440 |
439 |
$18K |
| 90791 |
Psychiatric diagnostic evaluation |
89 |
89 |
$15K |
| 97802 |
|
92 |
91 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
53 |
53 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
212 |
212 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
42 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,937 |
2,878 |
$7K |
| 0012A |
|
185 |
183 |
$7K |
| D1120 |
Prophylaxis - child |
187 |
187 |
$7K |
| 0011A |
|
175 |
174 |
$6K |
| 99051 |
|
439 |
437 |
$5K |
| 99381 |
|
29 |
29 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$5K |
| D7140 |
Extraction, erupted tooth or exposed root |
50 |
27 |
$4K |
| D1110 |
Prophylaxis - adult |
76 |
76 |
$4K |
| D1206 |
Topical application of fluoride varnish |
223 |
223 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
97 |
97 |
$4K |
| D0330 |
Panoramic radiographic image |
64 |
64 |
$3K |
| G9153 |
Mapcp demonstration - physician incentive pool |
97 |
97 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
569 |
568 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,017 |
1,009 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
104 |
104 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 99401 |
|
165 |
165 |
$2K |
| 81025 |
|
613 |
595 |
$1K |
| 85018 |
|
1,937 |
1,913 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
89 |
89 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,045 |
1,028 |
$1K |
| 90658 |
|
69 |
69 |
$998.06 |
| 0013A |
|
24 |
24 |
$960.00 |
| 96161 |
|
133 |
130 |
$665.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
392 |
382 |
$613.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
124 |
123 |
$450.08 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$438.88 |
| 90686 |
|
920 |
914 |
$412.70 |
| 96160 |
|
29 |
29 |
$375.98 |
| 98968 |
|
12 |
12 |
$304.10 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
505 |
490 |
$289.71 |
| 1159F |
|
1,692 |
1,648 |
$283.81 |
| 82947 |
|
215 |
212 |
$200.39 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$194.40 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
395 |
394 |
$191.61 |
| 99050 |
|
42 |
42 |
$170.40 |
| 90649 |
|
140 |
136 |
$157.49 |
| 3078F |
|
2,339 |
2,272 |
$156.34 |
| 36415 |
Collection of venous blood by venipuncture |
194 |
192 |
$149.16 |
| 3074F |
|
2,386 |
2,307 |
$120.25 |
| 81002 |
|
221 |
200 |
$118.08 |
| 81005 |
|
174 |
167 |
$66.38 |
| 90461 |
|
182 |
180 |
$50.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
14 |
$44.46 |
| 90715 |
|
153 |
153 |
$39.04 |
| 92551 |
|
41 |
41 |
$7.77 |
| 3079F |
|
499 |
489 |
$0.04 |
| 3077F |
|
123 |
121 |
$0.02 |
| 2000F |
|
745 |
719 |
$0.00 |
| 3008F |
|
1,286 |
1,247 |
$0.00 |
| 1126F |
|
1,614 |
1,577 |
$0.00 |
| 1125F |
|
118 |
117 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,120 |
1,099 |
$0.00 |
| 2010F |
|
34 |
33 |
$0.00 |
| 3075F |
|
41 |
41 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,011 |
994 |
$0.00 |
| 2001F |
|
918 |
885 |
$0.00 |
| 90647 |
|
37 |
37 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
13 |
13 |
$0.00 |
| 1170F |
|
74 |
73 |
$0.00 |
| 90619 |
|
60 |
54 |
$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 |
92 |
92 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,043 |
1,022 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
116 |
116 |
$0.00 |
| 90670 |
|
476 |
476 |
$0.00 |
| 90633 |
|
84 |
84 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
59 |
53 |
$0.00 |
| 99173 |
|
134 |
134 |
$0.00 |
| 99408 |
|
101 |
98 |
$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 |
19 |
19 |
$0.00 |