| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,672 |
20,295 |
$757K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,870 |
1,762 |
$107K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,153 |
3,057 |
$89K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,364 |
587 |
$75K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,926 |
1,788 |
$66K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,384 |
879 |
$66K |
| 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 |
8,342 |
2,883 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,353 |
3,968 |
$59K |
| D0330 |
Panoramic radiographic image |
1,007 |
978 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
831 |
749 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,022 |
5,692 |
$33K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,072 |
1,057 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
781 |
738 |
$27K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
717 |
662 |
$26K |
| D1110 |
Prophylaxis - adult |
430 |
425 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
8,397 |
6,867 |
$21K |
| D0140 |
Limited oral evaluation - problem focused |
504 |
494 |
$19K |
| 99173 |
|
696 |
664 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
780 |
707 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,603 |
2,532 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
207 |
194 |
$13K |
| D0274 |
Bitewings - four radiographic images |
486 |
480 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
180 |
168 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
162 |
151 |
$11K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
31 |
30 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
156 |
103 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
984 |
955 |
$10K |
| D1120 |
Prophylaxis - child |
231 |
231 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
870 |
798 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
70 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
121 |
83 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
89 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
335 |
330 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
141 |
141 |
$4K |
| V2020 |
Frames, purchases |
159 |
143 |
$3K |
| 90461 |
|
202 |
199 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
325 |
225 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
42 |
16 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
149 |
$2K |
| 99460 |
|
44 |
44 |
$2K |
| 87420 |
|
162 |
154 |
$2K |
| 92015 |
Determination of refractive state |
394 |
359 |
$2K |
| D0272 |
Bitewings - two radiographic images |
107 |
106 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
27 |
24 |
$2K |
| 90686 |
|
276 |
270 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 92551 |
|
110 |
106 |
$1K |
| D1351 |
Sealant - per tooth |
68 |
30 |
$1K |
| D1206 |
Topical application of fluoride varnish |
49 |
49 |
$900.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
78 |
75 |
$654.55 |
| 99217 |
|
15 |
13 |
$641.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
31 |
$550.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
25 |
$495.66 |
| D0230 |
Intraoral - periapical each additional radiographic image |
58 |
24 |
$352.05 |
| 90674 |
|
15 |
15 |
$295.64 |
| 80305 |
|
41 |
37 |
$292.68 |
| 90633 |
|
121 |
115 |
$272.79 |
| 90756 |
|
17 |
17 |
$216.00 |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
15 |
$148.60 |
| 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 |
85 |
75 |
$123.93 |
| 81001 |
|
49 |
44 |
$36.12 |
| 81003 |
|
114 |
104 |
$33.00 |
| 36416 |
|
16 |
12 |
$13.08 |
| 3074F |
|
214 |
213 |
$1.18 |
| 3044F |
|
270 |
269 |
$1.14 |
| 3078F |
|
131 |
129 |
$0.61 |
| D0999 |
Unspecified diagnostic procedure, by report |
861 |
794 |
$0.21 |
| 1036F |
|
1,351 |
1,266 |
$0.19 |
| 3079F |
|
27 |
27 |
$0.12 |
| 90648 |
|
12 |
12 |
$0.01 |
| 4004F |
|
3,995 |
3,575 |
$0.01 |
| 90670 |
|
12 |
12 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,050 |
2,884 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,220 |
2,142 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
99 |
95 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
28 |
28 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
147 |
142 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
45 |
42 |
$0.00 |