| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,098 |
40,494 |
$2.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,329 |
11,892 |
$1.03M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,228 |
3,815 |
$317K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,090 |
1,806 |
$169K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,103 |
1,885 |
$84K |
| 99442 |
|
1,545 |
1,419 |
$82K |
| 99443 |
|
1,091 |
922 |
$76K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
456 |
358 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
564 |
537 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
443 |
420 |
$41K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
544 |
476 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,596 |
2,244 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
245 |
239 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
261 |
237 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
776 |
714 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
132 |
$14K |
| 90686 |
|
743 |
721 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,330 |
1,129 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,153 |
1,076 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
482 |
448 |
$9K |
| 80305 |
|
1,291 |
1,128 |
$9K |
| 96127 |
|
2,270 |
1,790 |
$8K |
| 90670 |
|
357 |
347 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
94 |
68 |
$7K |
| 99215 |
Prolong outpt/office vis |
92 |
73 |
$6K |
| 81002 |
|
2,174 |
1,978 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
39 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
872 |
793 |
$4K |
| 0011A |
|
104 |
101 |
$3K |
| 96160 |
|
1,583 |
1,250 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
688 |
665 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
12 |
$3K |
| 0012A |
|
95 |
91 |
$3K |
| 90633 |
|
138 |
126 |
$3K |
| 99441 |
|
82 |
74 |
$3K |
| 98968 |
|
101 |
60 |
$3K |
| 90647 |
|
118 |
114 |
$2K |
| 90651 |
|
105 |
100 |
$2K |
| 90680 |
|
91 |
88 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
173 |
76 |
$2K |
| 99381 |
|
14 |
13 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
50 |
48 |
$2K |
| 90723 |
|
62 |
60 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
48 |
46 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
51 |
46 |
$1K |
| 99406 |
|
102 |
92 |
$856.14 |
| 0064A |
|
41 |
39 |
$855.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
657 |
567 |
$760.48 |
| 90734 |
|
40 |
38 |
$746.64 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
16 |
14 |
$683.21 |
| 90674 |
|
25 |
25 |
$489.16 |
| 98961 |
|
44 |
39 |
$308.43 |
| 90716 |
|
13 |
12 |
$285.48 |
| 98967 |
|
20 |
16 |
$270.77 |
| 90710 |
|
13 |
12 |
$241.56 |
| 80061 |
Lipid panel |
42 |
39 |
$218.82 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$156.00 |
| 81003 |
|
100 |
95 |
$128.32 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
44 |
41 |
$127.33 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
28 |
$120.00 |
| 96161 |
|
62 |
62 |
$112.84 |
| 87807 |
|
17 |
15 |
$102.52 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
18 |
14 |
$67.94 |
| 82947 |
|
41 |
38 |
$64.26 |
| 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 |
13 |
12 |
$35.86 |
| 82270 |
|
12 |
12 |
$27.78 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
77 |
61 |
$20.28 |
| 91301 |
|
350 |
337 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
174 |
168 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |