| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,492 |
44,193 |
$6.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,284 |
25,112 |
$3.07M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19,767 |
7,090 |
$1.02M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21,383 |
6,489 |
$987K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14,979 |
5,165 |
$770K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
9,032 |
4,741 |
$646K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13,114 |
3,490 |
$594K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,123 |
4,305 |
$471K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,242 |
1,250 |
$346K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,675 |
2,353 |
$298K |
| 99215 |
Prolong outpt/office vis |
2,083 |
1,191 |
$192K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,531 |
1,115 |
$148K |
| 99441 |
|
1,887 |
1,303 |
$141K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,196 |
557 |
$136K |
| 99442 |
|
1,886 |
1,321 |
$123K |
| 99443 |
|
1,688 |
539 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,958 |
15,531 |
$95K |
| 90658 |
|
10,399 |
9,970 |
$91K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
792 |
447 |
$90K |
| 36415 |
Collection of venous blood by venipuncture |
11,356 |
10,500 |
$83K |
| 97803 |
|
3,034 |
3,016 |
$68K |
| 11721 |
|
580 |
511 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
270 |
188 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,684 |
4,432 |
$28K |
| 99397 |
|
285 |
198 |
$24K |
| 85018 |
|
4,364 |
4,152 |
$21K |
| 90686 |
|
4,386 |
4,320 |
$18K |
| 92551 |
|
4,300 |
4,161 |
$11K |
| 0012A |
|
452 |
452 |
$9K |
| 0011A |
|
476 |
476 |
$8K |
| 97802 |
|
487 |
487 |
$8K |
| 0072A |
|
183 |
183 |
$7K |
| 90461 |
|
4,059 |
4,038 |
$7K |
| 99385 |
|
111 |
50 |
$7K |
| 0124A |
|
198 |
198 |
$6K |
| 90657 |
|
1,539 |
1,502 |
$6K |
| 0002A |
|
185 |
185 |
$6K |
| 99173 |
|
3,865 |
3,725 |
$5K |
| 96160 |
|
222 |
222 |
$5K |
| 0001A |
|
157 |
156 |
$5K |
| 0064A |
|
144 |
144 |
$5K |
| 0071A |
|
133 |
133 |
$5K |
| 91321 |
|
80 |
78 |
$4K |
| 90715 |
|
294 |
245 |
$4K |
| 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 |
88 |
40 |
$4K |
| 99383 |
|
36 |
16 |
$4K |
| 87210 |
|
792 |
777 |
$3K |
| 90480 |
|
163 |
163 |
$3K |
| 90651 |
|
795 |
775 |
$3K |
| 99381 |
|
26 |
12 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
14 |
$3K |
| 0134A |
|
79 |
79 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
12 |
$3K |
| 81002 |
|
1,108 |
859 |
$2K |
| 0154A |
|
62 |
62 |
$2K |
| 81025 |
|
408 |
386 |
$2K |
| 90656 |
|
961 |
945 |
$2K |
| 90723 |
|
525 |
479 |
$2K |
| 90734 |
|
658 |
639 |
$1K |
| 0004A |
|
42 |
42 |
$1K |
| 90633 |
|
450 |
424 |
$1K |
| 91322 |
|
54 |
50 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
12 |
$1K |
| 90670 |
|
1,579 |
1,577 |
$863.10 |
| 86701 |
|
115 |
115 |
$822.51 |
| 0031A |
|
26 |
26 |
$818.06 |
| 90680 |
|
514 |
512 |
$544.79 |
| 0112A |
|
13 |
13 |
$474.84 |
| 90647 |
|
896 |
894 |
$307.95 |
| 90661 |
|
186 |
183 |
$237.45 |
| 90662 |
|
36 |
34 |
$163.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
71 |
$126.72 |
| 90677 |
|
164 |
164 |
$56.23 |
| 91300 |
|
437 |
388 |
$0.04 |
| 91306 |
|
142 |
142 |
$0.01 |
| 91311 |
|
27 |
27 |
$0.00 |
| 91312 |
|
179 |
179 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 91313 |
|
78 |
78 |
$0.00 |
| 58999 |
|
12 |
12 |
$0.00 |
| 92015 |
Determination of refractive state |
16 |
16 |
$0.00 |
| 91315 |
|
63 |
63 |
$0.00 |
| 91307 |
|
350 |
309 |
$0.00 |
| 90697 |
|
50 |
50 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| 91303 |
|
26 |
26 |
$0.00 |
| 91301 |
|
954 |
924 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |