| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,032 |
35,555 |
$6.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,139 |
29,897 |
$5.14M |
| D0999 |
Unspecified diagnostic procedure, by report |
6,541 |
6,177 |
$1.73M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,857 |
3,434 |
$590K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
10,695 |
6,051 |
$553K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
9,667 |
4,823 |
$525K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
656 |
615 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
340 |
320 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
216 |
213 |
$27K |
| 99349 |
|
111 |
110 |
$23K |
| D1206 |
Topical application of fluoride varnish |
6,280 |
5,925 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
99 |
$21K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
544 |
319 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
10,225 |
9,367 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14,007 |
11,810 |
$13K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,058 |
1,203 |
$12K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
216 |
132 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,716 |
5,397 |
$9K |
| 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 |
599 |
519 |
$7K |
| 0072A |
|
141 |
137 |
$7K |
| 0011A |
|
216 |
198 |
$7K |
| 99215 |
Prolong outpt/office vis |
76 |
72 |
$6K |
| 0002A |
|
130 |
127 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
28 |
$5K |
| 0012A |
|
149 |
145 |
$5K |
| 0071A |
|
106 |
105 |
$5K |
| 0001A |
|
115 |
105 |
$4K |
| 99000 |
|
15,923 |
14,474 |
$4K |
| 0064A |
|
95 |
94 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
24 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$3K |
| D0190 |
|
1,040 |
983 |
$3K |
| 36416 |
|
4,486 |
4,033 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,903 |
1,836 |
$2K |
| 0054A |
|
49 |
45 |
$2K |
| 90686 |
|
4,061 |
3,891 |
$2K |
| 0124A |
|
24 |
22 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
707 |
651 |
$1K |
| 81002 |
|
1,421 |
1,124 |
$233.70 |
| 90688 |
|
878 |
850 |
$219.06 |
| 80053 |
Comprehensive metabolic panel |
1,111 |
1,069 |
$29.56 |
| 85018 |
|
175 |
170 |
$3.32 |
| 80061 |
Lipid panel |
57 |
55 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
25 |
$0.00 |
| 90461 |
|
59 |
57 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 81025 |
|
21 |
15 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
609 |
594 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
760 |
710 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
510 |
472 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
236 |
232 |
$0.00 |
| 91307 |
|
152 |
151 |
$0.00 |
| 91301 |
|
391 |
382 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
136 |
131 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 82962 |
|
128 |
105 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
25 |
25 |
$0.00 |
| 90651 |
|
33 |
28 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
12 |
$0.00 |