| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128,519 |
102,953 |
$3.74M |
| 87428 |
|
12,975 |
11,507 |
$1.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,008 |
16,142 |
$700K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,803 |
10,600 |
$586K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,807 |
8,298 |
$560K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,486 |
4,700 |
$387K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,114 |
4,858 |
$347K |
| H0033 |
Oral medication administration, direct observation |
2,446 |
1,007 |
$312K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,188 |
12,652 |
$139K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,001 |
2,745 |
$136K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,821 |
6,157 |
$136K |
| 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 |
8,159 |
6,553 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,900 |
1,755 |
$128K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,107 |
1,803 |
$78K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,748 |
2,789 |
$74K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,288 |
2,187 |
$64K |
| 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 |
5,530 |
4,811 |
$64K |
| 59510 |
|
61 |
50 |
$63K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
741 |
655 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
627 |
557 |
$46K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,990 |
3,027 |
$45K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
826 |
721 |
$43K |
| 0503F |
|
1,418 |
1,198 |
$39K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
32 |
28 |
$39K |
| 90791 |
Psychiatric diagnostic evaluation |
600 |
555 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,480 |
2,922 |
$34K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
610 |
492 |
$34K |
| Q3014 |
Telehealth originating site facility fee |
2,770 |
1,835 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,329 |
1,062 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
20,676 |
16,925 |
$30K |
| 3008F |
|
162,011 |
125,121 |
$26K |
| 87807 |
|
2,425 |
2,162 |
$24K |
| 3078F |
|
110,905 |
88,911 |
$23K |
| 3074F |
|
126,166 |
99,289 |
$22K |
| 92551 |
|
2,810 |
2,598 |
$22K |
| 96127 |
|
4,659 |
4,234 |
$22K |
| 76801 |
|
274 |
225 |
$18K |
| 81025 |
|
3,335 |
2,828 |
$17K |
| 90715 |
|
478 |
437 |
$15K |
| 80305 |
|
2,568 |
1,529 |
$14K |
| 3079F |
|
44,305 |
34,798 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
205 |
175 |
$12K |
| 81002 |
|
5,191 |
4,445 |
$11K |
| 0500F |
|
1,142 |
858 |
$10K |
| 90686 |
|
1,889 |
1,725 |
$9K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
870 |
729 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,150 |
941 |
$8K |
| 99460 |
|
152 |
146 |
$7K |
| 59430 |
|
684 |
544 |
$6K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
48 |
48 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
141 |
110 |
$6K |
| 99173 |
|
1,489 |
1,362 |
$6K |
| 3075F |
|
18,243 |
14,807 |
$6K |
| 59025 |
Fetal non-stress test |
177 |
82 |
$5K |
| 3077F |
|
6,754 |
5,546 |
$5K |
| 99462 |
|
114 |
76 |
$3K |
| 69210 |
|
83 |
55 |
$2K |
| 3080F |
|
1,168 |
964 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
150 |
129 |
$2K |
| 90678 |
|
20 |
12 |
$2K |
| 90670 |
|
3,714 |
3,462 |
$2K |
| 90461 |
|
7,658 |
6,975 |
$2K |
| 96112 |
|
31 |
25 |
$1K |
| 96113 |
|
31 |
25 |
$1K |
| 90656 |
|
140 |
81 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 90677 |
|
941 |
776 |
$1K |
| 90723 |
|
2,874 |
2,627 |
$788.70 |
| 96161 |
|
38 |
29 |
$741.84 |
| 90680 |
|
2,124 |
1,936 |
$732.15 |
| 90688 |
|
92 |
67 |
$720.58 |
| 93000 |
|
52 |
52 |
$625.14 |
| 90651 |
|
153 |
113 |
$533.10 |
| 0502F |
|
22,191 |
12,461 |
$470.84 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,084 |
753 |
$263.39 |
| 90647 |
|
2,684 |
2,424 |
$249.77 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
125 |
100 |
$98.87 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
297 |
229 |
$88.67 |
| 85018 |
|
33 |
30 |
$85.02 |
| 90633 |
|
455 |
403 |
$64.07 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
88 |
63 |
$55.72 |
| 96160 |
|
69 |
62 |
$23.33 |
| 1159F |
|
5,942 |
4,788 |
$20.00 |
| 1160F |
|
4,824 |
3,773 |
$20.00 |
| G0008 |
Administration of influenza virus vaccine |
141 |
115 |
$17.96 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
24 |
$15.96 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
55 |
43 |
$10.36 |
| 1126F |
|
402 |
370 |
$10.00 |
| 1125F |
|
3,783 |
3,013 |
$10.00 |
| 3044F |
|
144 |
121 |
$10.00 |
| 90671 |
|
18 |
17 |
$0.11 |
| 1036F |
|
66,673 |
51,150 |
$0.08 |
| 4004F |
|
11,802 |
9,128 |
$0.06 |
| 90734 |
|
38 |
24 |
$0.01 |
| H2010 |
Comprehensive medication services, per 15 minutes |
241 |
108 |
$0.00 |
| 1158F |
|
623 |
474 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$0.00 |
| 90700 |
|
19 |
12 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
12 |
12 |
$0.00 |
| 3050F |
|
14 |
14 |
$0.00 |
| 2001F |
|
36,970 |
28,847 |
$0.00 |
| 3048F |
|
306 |
262 |
$0.00 |
| 1170F |
|
66 |
60 |
$0.00 |
| 99024 |
|
489 |
427 |
$0.00 |
| 0501F |
|
806 |
694 |
$0.00 |
| 1034F |
|
40 |
37 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
71 |
47 |
$0.00 |
| 3049F |
|
16 |
15 |
$0.00 |
| 1157F |
|
15 |
13 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| 1101F |
|
32 |
30 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |